how to make a new heart?

Valve Replacement Forums

Help Support Valve Replacement Forums:

This site may earn a commission from merchant affiliate links, including eBay, Amazon, and others.
Hi!

just a general remark about different techniques used for measurements in cardiology. The most common is, of course, transthoracic echo (cheaper, less invasive). And this is the standard technique that almost all consensus are based on. So, even if another technique proves to be more accurate, it doesnt change that much.

Example:
let suppose that some measurement, using transthoracis echo, begin to be a concern at say 50mm. All the studies that let to that cut off value were conducted using transthoracis echo. Now let assume that it is proven that transthoracis echo overestimates the real size by around 10% compared with a CT scan. This does not mean that the cut off becomes then 55mm. It would still be 50mm by echo (and probably 45mm by CT scan).

Regards
 
Hello everyone, in general, they calculated at the hospital that the regurgitation is severe and I need an surgery with a mechanical valve, who can comment on this data?


Aortic valve: bicuspid

Fusion of the ACL-LCL (type 1) with calcification of the suture and marginal calcification of the valve leaflets

The opening of the valves is slightly limited.

tvorok Maximum gradient on Av-58 mm Hg.

Average gradient on Av-31 mm Hg.

Max speed on Av is 382 cm/sec.

The diameter of the VTLZ is 2.3 cm.

AVA by flow continuity equation. 1.28 cm2.

Also, in all main positions, the holodiastolic jet of aortic regurgitation is visualized.

Vena contacta AP-0.5 cm (in the parasternal position).

PHT-210-230 ms.

in the four-chamber apical position:

PISA -0.7 cm.

EROA -0.33

Volume AR. 67 ml

Index KDR-25.3 mm/m2.

Conclusion

CHD: bicuspid aortic valve with the formation of a combined defect severe vortical

regurgitation moderate aortic stenosis

Mild dilation of the ascending aorta.

LV myocardial hypertrophy

The chambers of the heart are not dilated.

Contractility of the LV (59%) and RV is satisfactory

MR 0-1 st. Tr 1 st.

The calculated pressure in the pulmonary artery is increased to 28 mm Hg.

Fluid in the pericardium is not visualized.
 
Back
Top