Image of the week- 1 July 2026

You are reviewing a colour M-mode echocardiogram through the mitral valve in a patient with chronic primary mitral regurgitation. The image demonstrates a vena contracta width of 15 mm. According to the 2025 ESC/EACTS Guidelines for the Management of Valvular Heart Disease, which statement is correct?
The image shows a PISA radius of 15 mm, indicating mild mitral regurgitation
The presence of an eccentric jet makes the severity of regurgitation impossible to assess
A vena contracta width of 15 mm confirms severe mitral regurgitation and fulfils an imaging criterion for intervention in an asymptomatic patient with preserved left ventricular function
A colour M-mode measurement of 15 mm corresponds to the jet area and indicates moderate mitral regurgitation
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