Faisal’s Mitral LabMITRAL IMAGING · mTEER
Clinical review draftLumen Lab
The mitral imaging challenge

Read the valve. Find the mechanism.

Published echo, anatomical reasoning and the implications for mTEER.

First attempt 0 / 0
TOEPrimary MR
QUESTION 01 / 50
TOE · CINE LOOP
Frame step
Look at: Posterior leaflet free edge
Image credit & source

Hsu P, Shepherd C, Shokraneh K, Cabrera G, Kalivoda EJ. Emergent Diagnosis of a Flail Mitral Leaflet With Bedside Echocardiography. Cureus 12(7):e9374 (2020), Video 6. CC BY (Cureus uses CC BY 4.0). Reproduced without alteration.

Flail posterior mitral leaflet. The case’s surgical report confirms flail P2 resection.

Open publication · Licence

Play the published TOE cine and follow the posterior leaflet tip through systole.

Interpret the imagingFoundation

What is the dominant mechanism shown in this cine?

How confident?