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
