Figure 19

Type 3B MR and TEE assessment. A: Due to a right coronary artery myocardial infarction, this patient had an inferolateral wall motion abnormality with restricted motion of the posterior leaflet. This resulted in severe posteriorly directed MR. B: At 120 degrees the MR originates from the A2/P2 scallops. C: The degree of tethering should be recorded by measuring the tenting height (coaptation depth) and the area subtended between the mitral leaflets and the white line that connects the mitral annulus.