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ECHO 2013 / Echocardiography for Assessment of Prosthetic Heart Valves

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Measurement 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