Transthoracic echocardiography images showing (A) parasternal long-axis view, end-systolic frame, demonstrating bileaflet MVP (yellow single-headed arrow) and MAD (red double-headed arrow) with a mitral annular displacement distance of 0.75 cm (blue arrow); (B) apical two-chamber view, end-systolic frame, demonstrating bileaflet MVP and MAD (red double-headed arrow) with a mitral annular displacement distance of 0.75 cm (blue arrow); (C) apical three-chamber view, end-systolic frame, also demonstrating MAD (red double-headed arrow) with a mitral annular displacement distance of 1.1 cm (blue arrow); (D) tissue Doppler imaging of the lateral mitral annulus showing an elevated lateral mitral annular S’ at 17 cm/sec.