Fig. 5From: Mitral regurgitation in the critically ill: the devil is in the detailCase 2—LVOT obstruction. a Posteriorly directed MR jet (arrows) in the parasternal long-axis view; b M-mode demonstrating systolic anterior motion of the mitral valve (arrows); c spectral Doppler showing dynamic LVOT obstruction with a peak gradient of 71 mmHgBack to article page