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hypertrophic cardiomyopathy and congenital mitral valve perforation

In a 15 year old boy,TTE apical view shows the hypertrophic cardiomyopathy and a fragment of the perforated anterior mitral leaflet,moving into the left atrium during systole.color doppler recording shows two separeted regurgitant flow toward the left atrium .there are left atrial dilatation and small effusion behind the right atrium and right atrial membrane swinging along the interatrial septum.

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