Video 10-05: Carpentier type IIIb: This midesophageal four-chamber view demonstrates restricted MV leaflet motion as found with global ventricular dysfunction.

Both leaflets are pulled out of position by the chordae and dilated ventricle, leading to tenting and poor coaptation, with a central MR jet.

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Author(s) Johannes van der Weisthuizen, Justiaan Swanevelder