Mitral regurgitation annulus dilatation example

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Dilatation of the left ventricle leads to stretching of the mitral annulus and sub-mitral apparatus. The leaflets don't coapt properly, there is central mitral regurgitation.

Parasternal long axis view:

Parasternal long axis view with color Doppler, the regurgitant jet is posteriorly and centrally directed:
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