Mild tricuspid regurgitation and borderline pulmonary arterial hypertension
Posted by: Johnson Francis on: 02 Oct, 2009
Apical four chamber view with colour flow mapping demonstrates mild tricuspid regurgitation (TR) as a bluish mosaic jet into the right atrium. RA: right atrium; LA: left atrium; LV: left ventricle; LA: left atrium. Both mitral and tricuspid valves are in closed position, indicating a systolic frame. TR jet area occupies only a small portion [...]
Tags: AML, anterior mitral leaflet, Ao V, Apical five chamber view (5C) view with color flow mapping, Apical five chamber view showing the aortic valve, apical four chamber view, Apical four chamber view showing fully open mitral and tricsupid valves, Apical four chamber view with colour flow mapping demonstrates mild tricuspid regurgitation, Apical four chamber view with mitral and tricuspid valves partially open, Apical four chamber view without color flow mapping, Arch, arch of aorta, as a bluish mosaic jet into the right atrium, Asc Ao, atrioventricular septum, between RA and LA, between RV and LV, between the septal attachments of the mitral and tricuspid valves, blue colored flow in descending aorta, blue coloured flow, blue coloured flow from the left ventricle converging to the left ventricular outflow tract, borderline pulmonary arterial hypertension, both AML and STL are flush with the interventricular septum and barely discernible as separate structures in this view, Both mitral and tricuspid valves are in closed position, calculated gradient has also been displayed, CFM, Coarctation of aorta, Desc Ao, descending aorta, difficulty in getting a good view in those with abdominal obesity, Doppler flow can also be detected well as it will be parallel to the beam, Doppler line for interrogating the region of the tricuspid valve, draining to the left atrium, due to the lower Nyquist limit, Ebstein's anomaly of the tricuspid valve, especially the post subclavian variety, false drop outs are unlikely as the IAS is perpendicular to the imaging ultrasound beam in this view, five chamber view (5C view) is obtained by tilting the transducer while in the four chamber view in such a way that the beam is directed a little more anteriorly, Gerbode VSD, good view for imaging the interatrial septum, hyperdynamic circulation, IAS, in which a portion of the right ventricle becomes atrialised, indicating a systolic frame, interatrial septum, interventricular septum, LA, lateral to the descending aorta, left atrium, left subclavian artery, left ventricle, liver above the heart, LSCA, LSVC, LV, LV-RA shunt, LVOT, mild (borderline) pulmonary hypertension, mild TR. Calculated right ventricular systolic pressure, Mild tricuspid regurgitation, Mod band, moderator band, narrowing of the LVOT, not a typical five chamber view, Nyquist limit of the color Doppler system, PA, partial or total anomalous pulmonary venous connection, peak velocity has been measured and displayed at the top, persistent left superior vena cava, poor images when the costal angle is narrow, Pulmonary artery, pulmonary vein, PV, qualifying for mild tricuspid regurgitation, RA, region of the septum between the STL and AML is the atrioventricular septum, right atrium, Right branch traverses through the region of the moderator band, RVSP, septal tricuspid leaflet, shelf like structure just below the left subclavian artery, STL, STL and AML are seen well and valve openings are good, STL is attached far distally, Subcostal view demonstrating the interatrial septum, Supra sternal view showing the ascending aorta, Supra sternal view with colour flow mapping, TR, TR jet area occupies only a small portion of the right atrial area, TR jet envelope is incomplete, TR jet in lower panel, Tricuspid regurgitation, turbulence in the LVOT, ventricular cavities are larger in the diastolic frame, ventricular septal defect, vertical vein
