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Figure 4 Anterior mitral valve prolapse. The shape of the regurgitant jet has a "spoon" pattern. The origin of this jet has a wide and short initial portion, first directed along the atrial surface of the posterior mitral leaflet and then against the atrial wall (arrows). The extent of its lateral spreading cannot be visualized by conventional color Doppler. The two-dimensional view at 60° can only visualize the initial portion of the jet at its origin (empty arrow). The convex face of this jet can be observed at three-dimensional Doppler from 0° to 120°, the concave face (dashed line) at 180°. The prolapse of the anterior mitral leaflet can be observed in the multiplanar view at 30° and 60°. AO = aortic valve; LA = left atrium; LV = left ventricle.





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