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. 2011 Apr 28;23(3):163–170. doi: 10.1016/j.jsha.2011.04.003

Figure 10.

Figure 10

Isolated cleft mitral valve in a 39-year-old female with severe mitral regurgitation. (A) Transthoracic 2D echo in parasternalphort axis view showing cleft anterior mitral leaflet in diastole. Note: isolated cleft usually opens towards the aorta while in cleft associated with atrioventricular septal defect, opening is towards the tricuspid valve. (B) Transthoracic 3D echo study in same view showing the cleft (trifoliate mitral valve).