60 Seconds of Echo Teaching Question: Why does this patient have MR?

Do you know why this patient has mitral regurgitation? Is anything wrong with the mitral valve? Have you seen this pathology before? Please comment with your answer below.

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[jayashreerangasami]

Elongated AML with thickened tip. PML rudimentary. Moderate MR, with Pulmonary Hypertension.

[abudaralganadi]

Primary MV disease, Thicke leaflet, anterior thick and billowing, little elongate no coaptation with post leaflet, mild to moderate MR, enlarged LA, mid to moderate I thin these Barrlow Disease ( Mitral Valve prolapse)....as it moderate MR no need for intervention just Echo follow up Q 6 months

[vedprakashpandey]

Chordal rupture causing MR and aml is tiping into la during systole and mv is not coapting.

[chrysoulafragiadaki]

Primary MR related to
myxomatous MV disease, with signs of AMV thickening and AMVP . The RV function seems to be reduced, so the TR is underestimated .Taking consideration of TV flow signal that is triangular, the PH of the patient is underestimated and it might be severe.

[vipulgarg]

ANNULAR ANTERIOR MITRAL LEAFLET THICKENING. Posterior immobile

[cesargudino]

Hi there, I agree with Massimo Bolognesi, the anterior valve leaflet is thickened and elongated in addition to mitral valve closure depends on the anterior leaflet . fibroelástic deficency can explain her prolapse . Pulmonary hypertension with a tricuspid regurgitation velocity under 2.8 m/s . Nice day for everybody

[massimobolognesi]

Transthoracic echocardiogram parasternal long-axis view shows that the anterior mitral valve leaflet is markedly elongated, mildly thickened, and occupied the entire closure line of the mitral annulus with no contribution of the hypoplastic posterior leaflet; there is also significant prolapse into the left atrium. In this case, the patient can develop severe MR which should undergo a surgical correction, even though for the hypoplasia of the posterior mitral valve with the absence of chordae tendinae. Moreover, pulmonary Hypertension was also detected.

[tarakor]

Excessive Mitral Leaflet Motion ( billowing AMVL ) -- class ll by the classification of Karpentie

[meenadhasan]

Where is the PML.. Is there any displacement..??!!!

[mahasenmohammed]

Class II MVP with moderate probability of PHT