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Transthoracic
Pathology Atlas
Pitfalls in
evaluation of mitral regurgitation
Problemi nella valutazione del rigurgito mitralico |
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2008 Case
TT3314
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Male,
60 y., follow-up study in dilated cardiomyopathy, LBBB on ECG.
Date of study: 2008
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Previous
studies 2004-2007: moderate LV dilatation (EDV= 90-130 ml/m2);
severe reduction of LV EF (37%); severe mitral regurgitation at
qualitative (jet area) and semi-quantitative (vena contracta= 6-7
mm) evaluation; normal estimated LV filling pressures; normal
pulmonary systolic pressure.
Present study: EDVi= 128 ml/m2; EFb= 37%; LA area= 31 cm2; Ep= 70
cm/s; E/Ea= 11.
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2009
Case TT3313
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Male,
60 y., follow-up study in dilated cardiomyopathy, LBBB on ECG.
Date of study: 2009
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Follow-up
study: clinical status (asymptomatic), blood pressure (normal) and
medications unchanged.
Present
study: EDVi= 123 ml/m2; EFb= 49%; LA area monopl.= 31 cm2; Ep= 83
cm/s; E/Ea= 7.
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Male,
60 y., follow-up study in dilated cardiomyopathy, LBBB on ECG.
Date of study: 2008
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Present study: mitral regurgitation coded as severe at qualitative
(jet area) and semi-quantitative (vena contracta) evaluation (see
next page)
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Male,
60 y., follow-up study in dilated cardiomyopathy, LBBB on ECG.
Date of study: 2009
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Present study: mitral regurgitation coded as mild to moderate at semi-quantitative
(PISA method and vena contracta) evaluation (see next page).
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| E.
Apical Long AxisView, color Doppler |
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Compare
to Normal Anatomy
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| Male,
60 y., follow-up study in dilated cardiomyopathy, LBBB on ECG.
Date of study: 2008
|
|
Present study: mitral regurgitation coded as severe at qualitative
(jet area) and semi-quantitative (vena contracta) evaluation (see
next page)
|
|
| F.
Apical Long AxisView, color Doppler |
| Compare
to Normal Anatomy |
| Male,
60 y., follow-up study in dilated cardiomyopathy, LBBB on ECG.
Date of study: 2009
|
|
Present study: mitral regurgitation coded as mild to moderate at semi-quantitative
(PISA method and vena contracta) evaluation (see next page).
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