Parasternal long axis and four-chamber view of an unusual presentation of a mitral valve. (a) Parasternal long axis view shows chordae meshwork into the left ventricle cavity. (b) Parasternal long axis view of color Doppler shows moderate to severe mitral regurgitation. (c) Four-chamber view shows elongated chordae that were predominantly oriented to the septum. (d) Four-chamber view of color Doppler confirmed the presence of moderate to severe mitral regurgitation.