Postoperative echocardiographic images of anterior mitral leaflet (AML) plasty. (a) Long axis view. Sclerotic tissue remains in AML (white arrow). (b) Four chamber view. Mosaic pattern of transmitral blood flow near sclerotic tissue of AML on color Doppler image suggests that direction of transmitral blood flow became distorted by surging against sclerotic AML tissue (dotted arrow).