Systolic Mitral Valve Opening and Absent Isovolumic Relaxation: Unusual Hemodynamics of Severe Mitral Regurgitation

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An 84-year-old man with dyspnea was found to have severe mitral regurgitation on echocardiography. Interestingly, the mitral valve opened prior to aortic valve closure with both valves briefly open together; hence the isovolumic relaxation phase is absent.

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