A 65 years old female patient complained of increasing shortness of breath during the past 5 years & vertigo. There is a history of 1 episode of atrial fibrillation paroxysm. During transthoracic echocardiography, a severe mitral valve cusps myxomatous degeneration with severe eccentric mitral regurgitation was revealed. Intraoperative transesophageal echocardiography before the surgery. ME View (mid-esophageal) two-chamber. Mitral valve cusps are severely myxomatous changed and prolapsing into the left atrium during the left ventricle systole.
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