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Figure 5b: (a) Oblique CT image through long axis of LV and LA (at 5% of the R-R interval) shows grade I (>2 but 
5 mm) calcification of the anterior leaflet (white arrowhead) and grade II (>5 mm) calcification of the posterior mitral annulus (black arrowhead). (b) Corresponding TEE image (two-chamber view at 0°) similarly shows both foci of calcification (white and black arrowheads), which cause acoustic shadowing. (c) Oblique CT reconstruction through long axis of LV and LA shows posterior leaflet prolapse (arrowhead). (d) TEE image (two-chamber view at 0°) similarly shows a flail posterior leaflet (arrowhead) with cordal rupture. A rupture of tendinous cords (as verified during surgery) was suspected but could not be directly demonstrated with CT.
