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.