Cleft Posterior Mitral Leaflet on Echocardiogram Eldery patient with recurrent stroke on therapeutic anticoagulation. Normal sinus rhythm at the time of admission/review. Confirmed DVT. TOE confirmed not only cleft PMVL but also PFO. by Dr. James Nadel @jimmy_nardel #Cleft #Posterior #MitralValve #Leaflet #PMVL #clinical #cardiology #echocardiogram #pocus #a4c