Abstract
A patient is presented with the unique combination of a low-pitched apical diastolic murmur auscultated on physical examination and corroborated by external phonocardiography in association with the echocardiographic and ventriculographic findings of mitral leaflet flutter in the absence of disease. This has not been documented previously in the literature. Possible mechanisms for the production of the diastolic murmur and mitral valve flutter are discussed.
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