A screened case from the EIA database with ‘pathological MR’ from an inter-scallop separation of the PMVL. This video from the PSLAX view with focused color Doppler over the MV demonstrates central MR with its origin below the coaptation point of the MV leaflets (i.e. body of the PMVL). View Video 9 at http://movie-usa.glencoesoftware.com/video/10.1530/ERP-18-0010/video-9.