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Pseudo‐mitral‐valve echogram following prosthetic mitral valve replacement
Author(s) -
Kessler Kenneth M.,
Rahim Abdur,
Rodriguez Daniel,
Kaplan Sherman R.,
Samet Philip
Publication year - 1980
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870080109
Subject(s) - medicine , mitral valve , mitral valve replacement , cardiology , mitral valve stenosis
Echocardiographic recordings from a patient with a prosthetic mitral valve revealed echoes within the left ventricular cavity that mimicked the motion pattern of a „normal” anterior mitral leaflet. The echo pattern was continuous, recorded from multiple views, and by two‐dimensional images it was localized to the level of the papillary muscles. Although thrombus and vegetation are possibilities, this echo probably originates from a pliable chordal structure severed but not removed at the time of surgery. The apparent responsiveness to hemodynamic influences was striking, and we suggest that the prevalence and pathophysiologic implications of such findings are of potential import.