Post MVR AV High Velocity Jet

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TEEIntraOpMEAVLAXCFD
Short case presentation
41 y.o. male with history of an ASD repair 16 years ago ow presents with increasing SOB and DOE. He has a history of hypertension and mild renal insufficiency. The preoperative echocardiography exam showed severe MR and mild TR with a LVEF of 40%. The patient was scheduled for a minimally invasive mitral valve repair. Discuss the findings of the intraoperative echo and the post repair echo of the LVOT/AV. A high velocity jet was present after the repair that was not present on the preoperative echocardiography exam. What are the possible etiologies of the high velocity jet.