firrone79
Active member
2.5 right ventricle
1.0 septal thickness (0.8-1.1 cm)
4.3 left ventricle (d) (3.6-5.3 cm)
2.9 left ventricle (s)
1.0 Posterior wall (0.8-1.1 cm)
2.9 sino tubular junction (<3.4)
4.1 ascending AO (<3.4)
3.0 left atrium (2.1-3.7 cm)
quantitative mv av lvot tv pv
peak velocity (m/sec) 2.9 1.0 1.1
peak gradient (mm Hg) 34 4.4 4.7
mean velocity (m/sec)
mean gradient (mm Hg) 17 2.5
valve area (cm2) 1.1-1.2
est. RVSP (mm Hg) 22
Echocardiographic images:
1. This is a 2-D, M-Mode, color flow and spectral doppler echocardiogram performed in normal sinus rhythm of adequate technical quality.
2. Chambers: left atrium, left ventricle, right atrium, and right ventricle are within normal limits of size. The aortic root "ascending aorta was mildly to moderately dilated with 4.1 cm".
3. No significant left ventricular hypertrophy is noted.
4. Overall left ventricular systolic function is normal, with an estimated left ejection fraction of 60-65%. No significant segmental wall motion abnormality identified.
5. No gross pericardial effusion is identified.
6. No gross intracavitary masses or thrombi are identified.
7. The inferior vena cava is normal in size and with response to respirations.
Valvular structures:
1. The aortic valve grossly appears bicuspid with mild doming.
2. The mitral valve appears grossly normal. No evidence of gross prolapse noted.
3. The tricuspid valve appears grossly normal.
4. The pulmonic valve were not well visualized but grossly appears normal.
5. The E/A ratio of the mitral valve inflow is 1.0 and deceleration time is 220 ms and LA volume of 18 ml/m2, which is upper normal filling pressure.
6. Tissue Doppler at the lateral and septal annulus demonstrates borderline abnormal relaxation.
Doppler
1. Max Vel across the bicuspid AV is 2.9 m/s with max/mean pg across the valve of 39/17 mmHg respectively and calculated AV area by continuity equation of 1.1-1.2 cm2.
2. Mild MR, PI and TR with normal RSVP with estimated pulmonary artery systolic pressure of 22 mmHg.
Impression:
1. The 4 cardiac chambers are wnl of size. The aortic root " ascending aorta was mildly to moderatly dilated with 4.1 cm".
2. No gross resting segmental wma noted with normal lv systolic function with LVEF 65%.
3. No significant LVH measured with doppler evidence to suggest early diastolic dysfunction grad I for age.
4. Valvular heart disease with Bicuspid AV with mild to moderate stenosis and calculated AV area of 1.1-1.2 cm2 by continuity equation. Mild MR, PI and TR with normal RSVP with estimated pulmonary artery systolic pressure of 22mmHg.
5. No gross paricardial effusion is seen and no gross intracavitary masses or thrombi are identified.
6.Comparing this study with previous reported study on 8/31/2011 "no actual images to compare", the max vel across the Bicuspid valve is slightly worse and the dilated ascending aorta is newly documented and measured.
In the 8/31/11 echo my AV area was 1.4-1.6. My cardio said that he would put me more in the moderate than mild category. He said surgery most likely in a year or two. He was really concerned about the progression rate. He added 25mg Toprol to help control BP better along with the 10mg Lisinopril I have been on for a couple years. I go back in October for another echo. Sorry for the long post!!
1.0 septal thickness (0.8-1.1 cm)
4.3 left ventricle (d) (3.6-5.3 cm)
2.9 left ventricle (s)
1.0 Posterior wall (0.8-1.1 cm)
2.9 sino tubular junction (<3.4)
4.1 ascending AO (<3.4)
3.0 left atrium (2.1-3.7 cm)
quantitative mv av lvot tv pv
peak velocity (m/sec) 2.9 1.0 1.1
peak gradient (mm Hg) 34 4.4 4.7
mean velocity (m/sec)
mean gradient (mm Hg) 17 2.5
valve area (cm2) 1.1-1.2
est. RVSP (mm Hg) 22
Echocardiographic images:
1. This is a 2-D, M-Mode, color flow and spectral doppler echocardiogram performed in normal sinus rhythm of adequate technical quality.
2. Chambers: left atrium, left ventricle, right atrium, and right ventricle are within normal limits of size. The aortic root "ascending aorta was mildly to moderately dilated with 4.1 cm".
3. No significant left ventricular hypertrophy is noted.
4. Overall left ventricular systolic function is normal, with an estimated left ejection fraction of 60-65%. No significant segmental wall motion abnormality identified.
5. No gross pericardial effusion is identified.
6. No gross intracavitary masses or thrombi are identified.
7. The inferior vena cava is normal in size and with response to respirations.
Valvular structures:
1. The aortic valve grossly appears bicuspid with mild doming.
2. The mitral valve appears grossly normal. No evidence of gross prolapse noted.
3. The tricuspid valve appears grossly normal.
4. The pulmonic valve were not well visualized but grossly appears normal.
5. The E/A ratio of the mitral valve inflow is 1.0 and deceleration time is 220 ms and LA volume of 18 ml/m2, which is upper normal filling pressure.
6. Tissue Doppler at the lateral and septal annulus demonstrates borderline abnormal relaxation.
Doppler
1. Max Vel across the bicuspid AV is 2.9 m/s with max/mean pg across the valve of 39/17 mmHg respectively and calculated AV area by continuity equation of 1.1-1.2 cm2.
2. Mild MR, PI and TR with normal RSVP with estimated pulmonary artery systolic pressure of 22 mmHg.
Impression:
1. The 4 cardiac chambers are wnl of size. The aortic root " ascending aorta was mildly to moderatly dilated with 4.1 cm".
2. No gross resting segmental wma noted with normal lv systolic function with LVEF 65%.
3. No significant LVH measured with doppler evidence to suggest early diastolic dysfunction grad I for age.
4. Valvular heart disease with Bicuspid AV with mild to moderate stenosis and calculated AV area of 1.1-1.2 cm2 by continuity equation. Mild MR, PI and TR with normal RSVP with estimated pulmonary artery systolic pressure of 22mmHg.
5. No gross paricardial effusion is seen and no gross intracavitary masses or thrombi are identified.
6.Comparing this study with previous reported study on 8/31/2011 "no actual images to compare", the max vel across the Bicuspid valve is slightly worse and the dilated ascending aorta is newly documented and measured.
In the 8/31/11 echo my AV area was 1.4-1.6. My cardio said that he would put me more in the moderate than mild category. He said surgery most likely in a year or two. He was really concerned about the progression rate. He added 25mg Toprol to help control BP better along with the 10mg Lisinopril I have been on for a couple years. I go back in October for another echo. Sorry for the long post!!
