Parameter TMDF PVD Color-M mode TDI Witnessed value -E/AR> 2 - DT = 125 msec. -S/D < 0.5 - Ar =40 cm/s - Ar–AR = 20 msec - Vp = 25 cm/s - E/Vp = 2.5 - Lateral e’= 6 cm/s - E/e’ = 14 Normal value (4) -E/A = 0.75-1.5 - DT = 140 msec. - S ≥ D -Ar< 35 cm/s - ARdur>Ar -Vp = > 55 cm/s - E/Vp = < 1.5 - Lateral e’= 8 cm/s - E/e’ = < 10

TMDF: Trans-Mitral Doppler Flow Velocity; PVD: Pulmonary Venous Doppler Flow Velocity; M-mode: Motion Mode; TDI: Tissue Doppler Imaging; E: Early Trans-Mitral Early Diastolic Rapid Ventricular Filling Velocity; DT: Deceleration Time from Peak to Baseline E Wave; AR: Late Diastolic Atrial Reversal Contraction Velocity; S: Peak Systolic Pulmonary Venous Velocity; D: Early Pulmonary Venous Diastolic Velocity; Ar: Late Diastolic Atrial Reversal Pulmonary Venous Velocity; Vp= Intra-Ventricular Diastolic Flow Propagation Velocity; e’: Lateral Mitral Annular Tissue Early Diastolic Velocity; E/e’: Ratio of Trans-Mitral Early Diastolic Wave to Lateral Annular Mitral Tissue Early Diastolic Wave; dur: Duration

Table 1: Summary of echocardiographic findings witnessed in this case report.