Operative findings
• The TEE findings were consistent with the appearance of the
valve at surgery. The valve was myxomatous with prolapse of
the middle scallop of the posterior leaflet
• A quadrangular resection of the middle scallop was performed
and a 30 mm annuloplasty ring was inserted to reinforce the
repair.
• Cardiac activity was restored and patient was weaned from
cardiopulmonary bypass (CPB).  The mean arterial pressure
was 65 mm Hg and the mean pulmonary artery pressure was 38
mm Hg.
• TEE examination of the mitral valve was performed.