Aortic regurgitation – eccentric jet

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Eccentric jet of aortic regurgitation cursing along the posterior margin of the left ventricular outflow tract (anterior mitral leaflet). Estimation of severity of eccentric jets may be erroneous as often the severity tends to be under estimated in case of eccentric jets. AR: aortic regurgitation; LA: left atrium; LV: left ventricle; RV: right ventricle. The frame to the left is a systolic frame and the right one is a diastolic frame. The systolic frame shows the mitral valve in the closed position while the diastolic frame shows it in the open position. The anterior mitral leaflet shows a reverse doming as the aortic regurgitation jet strikes it. Systolic frame also shows a trivial mitral regurgitation into the left atrium, just behind the mitral valve as a bluish mosaic jet.