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Figure 1. Figure 2. Figure 3. A1. P1. A2. A3. P2. P3. A. B. P3. A3. P2. A2. A1. P1. Figure 4. A1. A3. A2. P3. P1. P2. Figure 5. A2-P2. Ao. Med. A. A3. A1. A2. P3. P1. Lat. P2. P3-A2-P1. Ao. Med. B. A3. A1. A2. P3. P1. Lat. P2. P2-A2. Ao. Med. C. - PowerPoint PPT Presentation

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Figure 1

Figure 2

Figure 3

A3

A3

A2

A2

A1

A1P1P1

P2P2

P3P3

A3A3A3A3A2A2A2A2

A1A1A1A1P1P1P1P1

P2P2P2P2

P3P3P3P3

A

B

Figure 4

A3A3A2A2

A1A1

P1P1 P2P2

P3P3

Figure 5

MedMedAoAo

LatLat

MedMedAoAo

A3A3A2A2A1A1

P1P1P2P2

P3P3

MedMedAoAo

LatLat

A3A3A2A2A1A1

P1P1P2P2

P3P3

LatLat

A3A3A2A2A1A1

P1P1P2P2

P3P3

MedMedAoAo

LatLat

A3A3A2A2A1A1

P1P1P2P2

P3P3

A2-P2

P3-A2-P1

P2-A2

P3-A3,A2,A1

A

B

C

D

Figure 6

Figure 7

Figure 8

Figure 9

First Order

Second Order

Third Order

Figure 10

Figure 11

Type I –normal Type I –normal leaflet motionleaflet motion

• Annular Annular dilatationdilatation

• Leaflet Leaflet perforationperforation

Type II – increased Type II – increased leaflet motion leaflet motion

• Ruptured chordRuptured chord

• Ruptured papillary Ruptured papillary musclemuscle

•Elongated chordElongated chordType III A – Type III A – systolic and systolic and

diastolic leaflet diastolic leaflet restrictionrestriction

•Commisural Commisural fusion fusion

•Leaflet thickeningLeaflet thickening

•Fused chordaeFused chordae

Type III B – Type III B – systolic leaflet systolic leaflet

restrictionrestriction

• Leaflet Leaflet tetheringtethering

Figure 12