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    Subjects/Medicine/Echo — Severe Mitral Regurgitation (Eccentric Jet)
    Echo — Severe Mitral Regurgitation (Eccentric Jet)
    hard
    stethoscope Medicine

    A 58-year-old woman with a 10-year history of mitral valve prolapse presents with progressive dyspnea on exertion and palpitations. Transthoracic echocardiography shows a dilated left atrium (B), a large eccentric mitral regurgitation jet hugging the LA wall (C), and the finding marked **D** in the diagram. Which of the following best explains the clinical significance of the finding marked **D**?

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