Case Report: Austin Flint Murmur and Phenomenon This echocardiogram demonstrates the Austin Flint phenomenon: a regurgitant aortic jet striking the anterior mitral leaflet (black arrow) on color doppler TEE (right), causing premature middiastolic rebound into the left ventricular inflow tract and a middiastolic or Austin Flint murmur. This Austin Flint phenomenon represents a pathophysiological mechanism for bivalvular infection in this patient with S. mitis endocarditis if his aortic valve endo
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