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Fig. 8 —Cardiac MDCT in 68-year-old woman being evaluated for
coronary artery disease. Multiplanar reformat three-chamber long-axis image in
ventricular systole shows incomplete coaptation of mitral leaflets
(straight arrow), consistent with mitral regurgitation. Left
ventricle is dilated, and apex (curved arrow) is thin and partly
calcified, consistent with chronic myocardial infarction in left anterior
descending vascular territory. Appearances are consistent with
ischemia-induced mitral annular dilatation.
