Mitral valve prolapse echocardiography or ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Echocardiography

2D Echo features

The leaflets and chordae are thick and reduntant. Reduced tensile strength leads to progressive elongation or rupture of chordae. Ruptured chordae appear as flail segments.

To diagnose mitral valve prolapse, the following criteria should be fulfilled - Movement of any part of either leaflet more than 2mm behind the annular plane in parasternal long axis view and movement of point of co-aptation behind the annular plane in apical 4 chamber view. Mitral regurgitation can result in enlarged LA size.

Doppler

Colour flow mapping and CW doppler shows predominantly late systolic mitral regurgitation.

M Mode Echocardiography

MItral Valve Prolapse.jpg M Mode

Left Ventriculography

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