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Philipp Blanke et al. JIMG 2015;8:612-615 Saddle-Shaped and D-Shaped Mitral Annulus: Patient Example Direct comparison of annular measurements using the saddle-shaped and D-shaped approaches in a 67-year-old male patient with severe left ventricular dilation and functional mitral regurgitation. Short-axis images (left column) centered through the geometrical axis of the annulus. Three-chamber view (right column). Note the significantly smaller annular area, perimeter, and SL distance with the D-shaped annulus. The red lines represent the posterior aspect of the mitral annulus; the curved white line represents the anterior aspect of the saddle-shaped mitral annulus; the yellow lines illustrate the TT-distances; the dashed red lines illustrate the SL-distances; the straight white lines represent the annular axis; the blue lines in the short-axis views indicate the orientation of the long-axis view, the blue lines in the long-axis views indicate the level of the short-axis views. Abbreviations as in Figure 4. Philipp Blanke et al. JIMG 2015;8:612-615 2015 American College of Cardiology Foundation