Fig. 1

Echocardiographic and CMR findings in a 66-year-old female with primary MR and normal diastolic function. The Echocardiogram shows early mitral velocity (E) of 100.0 cm/s, late mitral velocity (A) of 83.2 cm/s, and E/A ratio of 1.2. No time delay is present between onset of E velocity and onset of mitral annulus septal e’ velocity. Deceleration time is 176 ms (A). Mitral A-duration is 128 ms, while pulmonary vein atrial flow (Ar) duration is 140 ms and Ar-A = 12 ms (B). By CMR (1.5 T), the MR jet is visualized in the horizontal long axis view (C). Pre-contrast T1 map is shown (D), and ECV is 23.8%. The patient was followed up for 137 months with no events.