**2.4.3 The pattern of mitral valve flail**

It represents the classically loss of leaflet coaptation due to ruptured tendineous chordae. (Figure 5).

Fig. 5. Flail of the mitral valve shown in the transthoracic parasternal long axis view using real time three-dimensional technique (zoom). The classical lesion usually involves the P2 scallop of the posterior leaflet, in about 2/3 of the patients with flail mitral valve. LA = left atrium, LV = left ventricle, pml = posterior mitral leaflet.
