Echocardiogram in Rheumatic Mitral and Aortic Regurgitation

Transcript of the video: This is an apical five chamber view and this is an apical four chamber view. You can see four chambers – RV, LV, RA, LA, and the transducer location is here. And this is five chamber because, in addition you are seeing the aorta also. Right atrium has not been labelled. In this view, you can see that mitral leaflets are thickened. This is anterior mitral leaflet, thickened, and in the closed position of mitral valve, when there should be no flow to the left atrium, you are seeing a jet, a mosaic jet, which has been traced out. Multi-coloured jet due to high velocity and turbulence. That is what you are seeing here. This is the mitral regurgitation jet. Two things which you look at regarding the jet are, the extent to which it is extending to the left atrium, it is extending almost the whole extent, and the area of the jet, compared to the area of the left atrium. These two are useful in assessing severity. Another aspect which you can look at is the width of the jet at its origin and also this flow acceleration, before the mitral valve. That can also be looked at. As the mitral leaflets are thickened, this is likely to be due to rheumatic mitral regurgitation. And assessment of area for assessment of severity, may be erroneous if it is an eccentric jet. This is not an eccentric jet, this is almost a central jet. But if the jet is going along a wall of the left atrium, sometimes it can go along the anterior mitral leaflet into the septal side, or...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: General Cardiology Source Type: blogs