Classic Cause of SOB

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TEEintraoppreopME3CV2D
Short case presentation
78 y.o. male with history of HTN and COPD(Empysema) now with SOB. He takes Combivent, Atenolol, and Triamterene/HCTZ.

Please review the TEE and consider the following questions:

What is the mechanism of the lesion (be specific)?
What is the severity of the lesion causing the symptoms?
List factors that determine the success or failure of a repair?
Does 3D TEE help with the diagnosis and therapy?