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Figure 3 Fragmentation mechanism of hemolysis. Transverse plane TEE imaging. (A) Mild override of the anterior mitral valve leaflet (large arrow) is observed following triangular resection and chordal shortening of this leaflet with Duran ring annuloplasty (arrowhead) three months earlier. (B) Color Doppler imaging demonstrates bisection of a laterally directed mitral regurgitant jet (large arrows), divided by a minimally dehisced portion of the annuloplasty ring (arrowhead).