Click on image to view larger version.

Figure 5 Central free jet mitral regurgitation present in nonhemolytic failure of mitral repair. Inverted transverse plane TEE imaging. (A) Incomplete central mitral leaflet coaptation (large arrow) is present 4 months after posterior leaflet quadrangular resection and Duran ring annuloplasty (arrowheads). (B) Severe central mitral regurgitation (large arrows) is detected by color Doppler imaging.