Two-dimensional transesophageal echocardiography midesophageal long-axis view with color-flow Doppler. A mild eccentric MR jet is directed posteriorly. The mild MR was associated with tethering of the anterior mitral leaflet, but no hypertrophied region or bulging in the interventricular septum was detected in the LVOT area. The echogenic masses vertically traversed the entire LVOT area, suggesting compromised LVOT patency. LA: left atrium, LV: left ventricle, LVOT: left ventricular outflow tract, Ao: aorta, MR: mitral regurgitation.