ECHO 2013 / Echocardiography for Assessment of Prosthetic Heart Valves
.pdfMeasurement of LVOT Diameter
CP1018119-7
Measurement of LVOT Diameter
CP1018119-8
Measurement of LVOT Diameter
CP1018119-9
Measurement of LVOT Diameter
RV
VS
|
|
SR |
LVOT |
d |
Ao |
|
||
|
|
|
AML |
|
SR |
LA
CP1018119-10
V2
CP984963-15
A B
When there is an obstruction of a flow channel, an increase in velocities proximal to the obstruction (level B) will be observed. If as in the LVOT, the flow proximal to the obstruction is accelerated, the velocity profile at level A
is flattened. Velocities representing the spatial mean velocity should therefore be recorded at this level.
Skjaerpe T: Circulation 72(4), 10/85
CP1198201-1
Correct PW SV Position
LVOT D |
2.3 cm |
LVOT TVI |
27 cm |
SV |
112 cc |
SVI |
60 cc/m2 |
AVR MG |
18 mm Hg |
AVR TVI |
68 cm |
EOA |
1.7 cm2 |
Incorrect PW SV Position
LVOT D |
2.3 cm |
LVOT TVI |
40 cm |
SV |
166 cc |
SVI |
89 cc/m2 |
AVR MG |
18 mm Hg |
AVR TVI |
68 cm |
EOA |
2.4 cm2 |
Before Issuing Final Report
•Use LVOT diameter and TVI measurements to calculate the stroke volume index, and check this against LV size and EF
•Normal stroke volume index = 32-58 cc/m2