ECHO Case 102 | Echocardiography for Beginners | Echocardiogram Interpretation
A 44 year old male presented with dyspnea and Palpiations with systolic murmur on examination. Try to spot the findings in these echocardiography clips and make a diagnosis. Answer will be explained in latter half of the video.
Case 102: FINDINGS:
PLAX and PSAX view showing thickened Mitral valve leaflets with Prolapse of Posterior Mitral Valve Leaflet (PMVL). Measurements are suggestive of dilated Left ventricle. Color Doppler in Apical four chamber and three chamber views showing late systolic moderate mitral regurgitation.
Difference between Flail and Prolapse:
In prolapse tip of the leaflet is not evulsed into the LA, only the leaflet body is protruding into LA, whereas in flail tip of the leaflet is hanging into LA due to ruptured chords.
01:31 Prolapse Vs Flail Mitral Valve
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#echocardiography #cardiology #echo #echocardiogram #2decho #prolapse #mitralvalve
Пікірлер: 23
Good case 👍
@DrMUsmanJaved
3 ай бұрын
Thanks
Great
Good case 👏👏...but I expect that mitral regurge is more than moderate
@DrMUsmanJaved
3 ай бұрын
Exactly, it seems to be more than moderate 👍
Great 👍
@AbdurrahmanKhan-ql9lf
3 ай бұрын
Sir plz upload Echo cardiography quiz videos 😊
@DrMUsmanJaved
3 ай бұрын
Thanks Alot ☺
@DrMUsmanJaved
3 ай бұрын
Yes sure, will upload soon inshAllah
@AbdurrahmanKhan-ql9lf
3 ай бұрын
@@DrMUsmanJaved ❤️
@AbdurrahmanKhan-ql9lf
3 ай бұрын
@@DrMUsmanJaved inshallah
How did u find the neck of the VC 👀 its hard for me to see it in eccentric jet , but lovely videos and educational , please continue posting Echo videos , also Recommended plan in each case will be very helpful too !!
@DrMUsmanJaved
Ай бұрын
Thanks Alot, yes VC can be measured in still frame, on clips its difficult to estimate. Adding management plan is a very good suggestion. Would try to add👍
❤❤❤
Excellent and Enthusiastic
@DrMUsmanJaved
3 ай бұрын
Thanks Alot ☺
👍
Very good case but i expect that mitral regurgitation is mild to moderate 😊
@DrMUsmanJaved
2 ай бұрын
Yup its moderate 👍 but due to eccentricity we can consider it as severe
How did you confirm that this is late-systolic MR? Pisa / VC ?
@DrMUsmanJaved
3 ай бұрын
Max regurgitation is evident at the end of systole as gated by ECG, pisa is not helpful in eccentric MR related to prolapse. Vc width was aoround 4 mm. PMVL prolapse tend to produce anteriorly directed jet and AMVL Prolapse produce posteriorly directed MR.
It's severe eccentric mr
@DrMUsmanJaved
2 ай бұрын
Exactly 👍 Eccentric MR is usually regarded as severe