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Eccentricity Index in Bicuspid Aortic Valve

All About Cardiovascular System and Disorders

Transcript of the video: Closure line of aortic valve on M-Mode echocardiogram, is seen as central line, while in bicuspid aortic valve, it is an eccentric closure, nearer to one of the walls of the aorta. This eccentricity of closure of the aortic valve leaflets, can be calculated using what is known as eccentricity index.

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Echocardiogram in Rheumatic Mitral and Aortic Regurgitation

All About Cardiovascular System and Disorders

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. This is the mitral regurgitation jet. Here it is the AR jet.

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Mitral and Aortic Regurgitation on Colour Doppler Echo

All About Cardiovascular System and Disorders

Here, this is the forward flow through the mitral valve in diastole in red. This is reverse flow from the aortic valve, that is aortic regurgitation jet. Area of the jet corresponding to the receiving chamber, that is left atrium, that is also deciding factor in assessing the severity of mitral regurgitation.

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Echocardiographic evaluation in aortic regurgitation

All About Cardiovascular System and Disorders

Mitral valve leaflets seen in open position between the left ventricle and left atrium are thickened. The large aortic regurgitation jet can be seen as a mosaic jet in the left ventricular outflow tract anterior to the anterior mitral leaflet. Aortic valve is seen as grossly thickened and calcified.

Aortic 40
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M-Mode Echocardiogram in Left Ventricular Dysfunction

All About Cardiovascular System and Disorders

Here, this is the forward flow through the mitral valve in diastole in red. This is reverse flow from the aortic valve, that is aortic regurgitation jet. Area of the jet corresponding to the receiving chamber, that is left atrium, that is also deciding factor in assessing the severity of mitral regurgitation.

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Mild Tricuspid Regurgitation

All About Cardiovascular System and Disorders

Unlike the valves on the left side like the mitral and aortic, right sided valves can have some leak. That is, mild mitral regurgitation and mild aortic regurgitation are less common. But even in nearly normal persons, there could be a little bit of leak in the tricuspid valve. Similar leaks on the left side are less.

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Single Frame Echo Quiz

All About Cardiovascular System and Disorders

This is the aortic valve in closed position and mitral valve also appears to be closed in position. From the images you do not know whether the mitral valve is really fully closed or almost about to be closed. You can also see the aortic override. Separation between the attachments of the aortic and mitral valve.