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Initial diastolic indentation of the mitral valve in aortic insufficiency
Author(s) -
Rowe Dennis W.,
Pechacek Leonard W.,
Decastro Carlos M.,
Garcia Effrain,
Hall Robert J.
Publication year - 1982
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.1870100204
Subject(s) - medicine , diastole , cardiology , mitral valve , aortic valve insufficiency , aortic valve , aorta , indentation , blood pressure , materials science , composite material
An abnormal diastolic indentation of the mitral valve has been noted on short‐axis two‐dimensional echocardiograms in patients with aortic insufficiency. In order to assess the clinical usefulness of this finding, we reviewed the echocardiograms of 18 patients with this lesion who had undergone cineaortography. Results were compared with those of a control group of 100 patients. Initial diastolic indentation of the anterior mitral leaflet occurred in 8 of 12 patients with 3+ to 4+ aortic insufficiency. None of the patients with lesser regurgitation and no patients from the control group demonstrated this pattern. The presence of this abnormality appears to be a specific indicator of critical aortic insufficiency.