I disagree on your diagnosis of a mitral prolapse , the valve is thickened as well the aortic , its coaptation is a little below the posterior leaflet , but it s not a prolapse , the regurgitant flow is excêntric ( Coanda effect ) and therefore moderate to severe . I would say that this a patient in his 50/60 y o ; hypertensive , with fibrosis of the aortic valve , mild insuficcient (regurgitant trauma on the AML) . By the way the loops are really good
If the MR was due to trauma (you mean from the AI, correct?)then the MR due to AI is during diastole, which is not the case in this video. Plus do not forget, that the patient could be hypertensive during the examination, which in this case, increases the regurgitation. It is a double Jet: with early systolic central Jet due to secondary insufficiency (Anular dilatation) and a late systolic Jet directed septal/posteriorly due to very mild AML-Prolaps. Again, i think it is in the best case moderate MR, LA is not even dilated and hardly the Regurgitation reaches the pulmonary veins
It is a double Jet: an early systolic central jet due to secondary Insufficiency, and a primary late systolic Jet, septal/posteriorly directed jet due to mild AML-prolaps. The jet does not even reach the pulmonary veins plus the left atrium visually is mildy dilated. And so, we have here a mild to moderate (in best case) Insufficiency
Thanks for sharing , but EACVI states that normal LA dimension excludes severe MR. I see the LA looking normal in size , so whats your opinion about that? Edit: oh so you measures the LA diameter and it was dilated ? The Diastolic Dysfunction Grade I excludes Severe MR (Source : EACVI).
I disagree on your diagnosis of a mitral prolapse , the valve is thickened as well the aortic , its coaptation is a little below the posterior leaflet , but it s not a prolapse , the regurgitant flow is excêntric ( Coanda effect ) and therefore moderate to severe . I would say that this a patient in his 50/60 y o ; hypertensive , with fibrosis of the aortic valve , mild insuficcient (regurgitant trauma on the AML) . By the way the loops are really good
Hello sir...are u from cardio department
@@zoyailyas8616 yes
I agree with you!
It can be mildly prolapse. I always found mildly prolapse MV by TOE but cannot be seen via TTE because of valve Thickening
If the MR was due to trauma (you mean from the AI, correct?)then the MR due to AI is during diastole, which is not the case in this video. Plus do not forget, that the patient could be hypertensive during the examination, which in this case, increases the regurgitation. It is a double Jet: with early systolic central Jet due to secondary insufficiency (Anular dilatation) and a late systolic Jet directed septal/posteriorly due to very mild AML-Prolaps. Again, i think it is in the best case moderate MR, LA is not even dilated and hardly the Regurgitation reaches the pulmonary veins
It is a double Jet: an early systolic central jet due to secondary Insufficiency, and a primary late systolic Jet, septal/posteriorly directed jet due to mild AML-prolaps. The jet does not even reach the pulmonary veins plus the left atrium visually is mildy dilated. And so, we have here a mild to moderate (in best case) Insufficiency
Do you see a prolapse in this study ???
nice
AML prolapse??
This is not mitral valve prolapse!
@luly2323 what's that's
Thanks for sharing , but EACVI states that normal LA dimension excludes severe MR. I see the LA looking normal in size , so whats your opinion about that?
Edit: oh so you measures the LA diameter and it was dilated ?
The Diastolic Dysfunction Grade I excludes Severe MR (Source : EACVI).
Jet is not associated with severe MR
and LA is not dilated that means no severe MR
An eccentric, jet along LA wall can be severe MR without LA dilation. Calculate regurgitatant volume and vena contracta.
is that a cute baby
😮
If severe MR acute LA could be normal, isn’t it?