“…Indeed, recent evidence shows that many cases of traditionally defined atrial FMR show a significant degree of leaflet tethering, even with normal LV geometry. 3 The analysis of mitral leaflet coaptation pattern with leaflet tethering or flattening may provide more clues about MR mechanism and its clinical impact than traditional chamber-based classification and has been shown to improve the prognostic stratification of patients with FMR. 4 …”