Cardiac Imaging Teaching Files
The CardioPhiles
Mitral Valve cases
Ruptured chordae is seen
From the LA
From the LA
1. MV Anatomy
​​
Surgeon's view
MVP
Flail P2, severe MR
2-d and 3-d TEE
Echocardiography
Zoom color Doppler
MR vol PISA = 59 mL MR continuity eq (SVmv - SVav) = 49 mL MR continuity equation (SVmv - SVpv) = 66 mL
2. MR Quntitative assessment is Superior to Qualitative one.
MR Quantification
PISA vs. Continuity equation
​​
73 YOW with C.diff and symptomatic Afib prior to cardioversion. MR was an incidental finding, functional as not structural valve pathology identified.
MVP
Flail P2, severe MR
2-d and 3-d TEE - PISA and 3-d guided Area measurement for SV calculation
Anteriorly directed
Anteriorly directed
Flail P2, severe MR
2-d and 3-d TEE
LVOT area 3.5 cm2 LVOT TVI 23.3 cm Forward SV = 81.5 mL MR vol = Total SV - Forward SV = 196.8 - 81.5 = 115.2 mL PISA and SV measurements are discrepant but both suggest severe MR, confirmed by 2-d images with flail leaflet
MVP
Barlow's valve, severe MR
2-d and 3-d TEE
