Posted by: Johnson Francis on: 18 May, 2010
Rheumatic mitral stenosis in parasternal short axis view Parasternal short axis view showing mitral valve in cross section (dotted outline). The valve leaflets are thickened and the commissures are fused. The cut is slightly oblique as a good cut should appear circular. It is often difficult to get a good circular outline of the mitral [...]
Posted by: Johnson Francis on: 18 May, 2010
Mitral stenosis jet on continuous wave Doppler (Click on the image for an enlarged view) Continuous wave (CW) interrogation along the mitral valve in the apical four chamber view (upper channel) gives the M shaped Doppler pattern in mitral stenosis. The initial peak is early diastolic (E) while the later peak is atrial systolic (A). [...]
Posted by: Johnson Francis on: 17 May, 2010
RHD, MS, MR, AR (Click on the image for an enlarged view) The frame on the left side shows the domed anterior mitral leaflet, dilated left atrium and the multi-coloured (mosaic) jet of aortic regurgitation in the left ventricular outflow tract anterior to the anterior mitral leaflet. This is a diastolic frame. The right frame [...]
Posted by: Johnson Francis on: 21 Mar, 2010
Rheumatic mitral stenosis – echocardiogram in PLAX view Mitral valve is the most commonly involved valve in rheumatic heart disease. According to Paul Wood, the involvement of the valves in rheumatic heart disease is depending on the hemodynamic load on the valve. The mitral valve faces the maximum load as it withstands the contractile force [...]
Posted by: Johnson Francis on: 10 Jan, 2010
Echocardiogram in rheumatic mitral stenosis (post balloon mitral valvotomy) Echocardiogram in rheumatic mitral stenosis (post balloon mitral valvotomy) showing the doming of the anterior mitral leaflet (AML) and paradoxical anterior movement of the posterior mitral leaflet (PML) in diastole, indicating partial commissural fusion. Left atrium (LA) is mildly dilated. RV: right ventricle; Ao: aorta; LV: [...]
