Aortic Stenosis

  Aortic Insufficiency
  AV Prosthesis
  Mitral Stenosis
  Mitral Regurgitation
  Mitral Prosthesis
  Diastology
  Left Atrial Size
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  Mitral Valve Prosthesis
       
                   
    Signs of Mitral Valve Prosthesis obstruction: (1) Mean diastolic gradient  > 6-8 mmHg at rest. (Note: Resting gradient will also be increased by significant MR or increased cardiac output (e.g., fever, anemia).) (2) Diastolic pressure half-time > 150 ms. (Note: PHT can also be affected by other factors, e.g. left ventricular relaxation/compliance or severe aortic regurgitation.) (3) Effective MVA <1.0 cm2 by continuity equation. (4) Mitral inflow CFI jet in tissue prostheses <0.8 cm wide. J.S. Child, 2004  
     
         
       
                   
    LVOT Diameter in cm = Mitral Valve Prosthesis VTI =    
           
           
    LVOT VTI in cm = Prosthetic MV Area  in cm2 =    
    Prosthetic Mitral Valve Area using the Continuity Equation. This method becomes unreliable in the presence of significant aortic regurgitation or mitral regurgitation.  
       
    To trigger calculation, press TAB.