Back to Echo cases%22%3E%3Cpath%20d%3D%22M%20200%20200%20L%20500%20180%20L%20720%20220%20L%20720%20320%20L%20500%20320%20L%20200%20340%20Z%22%20fill%3D%22%230a0a0a%22%20opacity%3D%220.9%22%2F%3E%3Cpath%20d%3D%22M%20200%20180%20L%20720%20200%20L%20720%20340%20L%20200%20360%20Z%22%20fill%3D%22none%22%20stroke%3D%22%23c8b8a0%22%20stroke-width%3D%228%22%20opacity%3D%220.6%22%2F%3E%3Cellipse%20cx%3D%22400%22%20cy%3D%22450%22%20rx%3D%22240%22%20ry%3D%22130%22%20fill%3D%22%230a0a0a%22%20opacity%3D%220.9%22%2F%3E%3Cellipse%20cx%3D%22400%22%20cy%3D%22450%22%20rx%3D%22260%22%20ry%3D%22150%22%20fill%3D%22none%22%20stroke%3D%22%23c8b8a0%22%20stroke-width%3D%2216%22%20opacity%3D%220.65%22%2F%3E%3Cellipse%20cx%3D%22580%22%20cy%3D%22440%22%20rx%3D%22140%22%20ry%3D%2290%22%20fill%3D%22%230a0a0a%22%20opacity%3D%220.85%22%2F%3E%3Cline%20x1%3D%22500%22%20y1%3D%22200%22%20x2%3D%22500%22%20y2%3D%22320%22%20stroke%3D%22%238a7a60%22%20stroke-width%3D%222%22%2F%3E%3Cline%20x1%3D%22495%22%20y1%3D%22380%22%20x2%3D%22540%22%20y2%3D%22500%22%20stroke%3D%22%238a7a60%22%20stroke-width%3D%222%22%2F%3E%3C%2Fg%3E%3Cpath%20d%3D%22M%20500%2040%20L%20100%20640%20A%20500%20500%200%200%200%20900%20640%20Z%22%20fill%3D%22none%22%20stroke%3D%22%23555%22%20stroke-width%3D%221%22%2F%3E%3Cline%20x1%3D%22940%22%20y1%3D%22140%22%20x2%3D%22960%22%20y2%3D%22140%22%20stroke%3D%22%23666%22%20stroke-width%3D%221%22%2F%3E%3Ctext%20x%3D%22970%22%20y%3D%22145%22%20font-family%3D%22Arial%22%20font-size%3D%2212%22%20fill%3D%22%23aaa%22%3E2%3C%2Ftext%3E%3Cline%20x1%3D%22940%22%20y1%3D%22240%22%20x2%3D%22960%22%20y2%3D%22240%22%20stroke%3D%22%23666%22%20stroke-width%3D%221%22%2F%3E%3Ctext%20x%3D%22970%22%20y%3D%22245%22%20font-family%3D%22Arial%22%20font-size%3D%2212%22%20fill%3D%22%23aaa%22%3E4%3C%2Ftext%3E%3Cline%20x1%3D%22940%22%20y1%3D%22340%22%20x2%3D%22960%22%20y2%3D%22340%22%20stroke%3D%22%23666%22%20stroke-width%3D%221%22%2F%3E%3Ctext%20x%3D%22970%22%20y%3D%22345%22%20font-family%3D%22Arial%22%20font-size%3D%2212%22%20fill%3D%22%23aaa%22%3E6%3C%2Ftext%3E%3Cline%20x1%3D%22940%22%20y1%3D%22440%22%20x2%3D%22960%22%20y2%3D%22440%22%20stroke%3D%22%23666%22%20stroke-width%3D%221%22%2F%3E%3Ctext%20x%3D%22970%22%20y%3D%22445%22%20font-family%3D%22Arial%22%20font-size%3D%2212%22%20fill%3D%22%23aaa%22%3E8%3C%2Ftext%3E%3Cline%20x1%3D%22940%22%20y1%3D%22540%22%20x2%3D%22960%22%20y2%3D%22540%22%20stroke%3D%22%23666%22%20stroke-width%3D%221%22%2F%3E%3Ctext%20x%3D%22970%22%20y%3D%22545%22%20font-family%3D%22Arial%22%20font-size%3D%2212%22%20fill%3D%22%23aaa%22%3E10%3C%2Ftext%3E%3Cline%20x1%3D%22940%22%20y1%3D%22640%22%20x2%3D%22960%22%20y2%3D%22640%22%20stroke%3D%22%23666%22%20stroke-width%3D%221%22%2F%3E%3Ctext%20x%3D%22970%22%20y%3D%22645%22%20font-family%3D%22Arial%22%20font-size%3D%2212%22%20fill%3D%22%23aaa%22%3E12%3C%2Ftext%3E%3Ctext%20x%3D%2230%22%20y%3D%2230%22%20font-family%3D%22Arial%22%20font-size%3D%2214%22%20fill%3D%22%23e0e0e0%22%20font-weight%3D%22bold%22%3EPLAX%3C%2Ftext%3E%3Ctext%20x%3D%22970%22%20y%3D%2230%22%20font-family%3D%22Arial%22%20font-size%3D%2212%22%20fill%3D%22%23e0e0e0%22%20text-anchor%3D%22end%22%3ESevere%20Mitral%20Regurgitation%20%E2%80%94%20Prolapse%3C%2Ftext%3E%3C%2Fsvg%3E)
intermediatePLAXMitral RegurgitationMitral Valve Prolapse
Severe Mitral Regurgitation — Prolapse
Clinical vignette
54 y/o female, holosystolic murmur at apex radiating to axilla, mild exertional dyspnea. Echo for workup.
Study the image first. Formulate your interpretation, then reveal the findings below to check yourself.