Diagramatic difference between Flail and prolapse: Key point 👉 In prolapse tip of the leaflet is not evulsed into LA..only the leaflet body is protruding into LA, whereas in flail tip of the leaflet is hanging into LA due to ruptured chords. 🫀 Flail vs Prolapse Mitral Leaflet on Echocardiography — How to Differentiate? Mitral valve (MV) abnormalities are common findings on echocardiography, and among these, leaflet prolapse and flail are crucial to recognize — both for accurate diagnosis and surgical planning. Though often mentioned together, they represent different severities of the same spectrum of mitral valve degeneration. --- 🔍 1. Mitral Valve Prolapse (MVP) – The Basics Definition: Mitral valve prolapse refers to systolic displacement of one or both mitral leaflets >2 mm beyond the annular plane into the left atrium during systole. Echocardiographic Features: Seen best in parasternal long-axis and apical 3-chamber (A3C) views. Leaflet tips remain coapting, thoug...