Figure 18.

3D TEE surgical view of the mitral valve (MV) in the same patient of Fig. 16. (A) Full-volume acquisition of the MV at mid systole showing two gaps at the coaptation line, one between A1 and P1 and second larger, between A3 and P3. (B) same view with full-volume color Doppler demonstrating two jets of posteriorly directed severe mitral regurgitation. Note: Smaller jet (1) is originating between A1 and P1 and larger jet (2) between A3 and P3. AOV = aortic valve, LAA = left atrial appendage, A1 = lateral segment of the anterior mitral valve leaflet (AMVL), A3 = medial segment of the AMVL, P1 = lateral scallop of the posterior mitral valve leaflet (PMVL), P3 = medial scallop of the PMVL.