Patient A: 02/2010 pre-op TEE (long-axis view, Systole) showing a bulging aneurysmal sac (AS, surrounded by arrows) arising from the mitral valve anterior leaflet (MVAL), and was divided by an incomplete septum (SEP) into two communicating chambers. R=rupture of the base of MVAL, LA=Left atrium, LV=Left ventricle, RV=Right ventricle.