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    SubjectsMedicineMitral Regurgitation from Posterior Leaflet Flail
    ClinicalMedicine

    Mitral Regurgitation from Posterior Leaflet Flail

    1 MCQs in Medicine for NEET PG

    1 Medium
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    A 62-year-old man presents with progressive exertional dyspnea and palpitations over 4 months. On examination, he has a holosystolic murmur at the apex radiating to the axilla and a loud S3. Transthoracic echocardiography reveals degenerative myxomatous mitral disease. The structure marked **A** in the diagram shows flail of the P2 scallop with free edge prolapsing into the left atrium due to ruptured chordae tendineae. The regurgitant volume is 65 mL with an EROA of 0.45 cm². LV end-diastolic diameter is 62 mm and LVEF is 60%. Given this presentation and imaging findings, which of the following is the most appropriate management?

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