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Altered Mitral Inflow Orifice in Severe Aortic Regurgitation: Real Time Three‐Dimensional Echocardiographic Findings
Author(s) -
Bertrand Philippe B.,
Verhaert David,
Vandervoort Pieter
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12271
Subject(s) - cardiology , medicine , regurgitation (circulation) , mitral regurgitation , mitral valve , hemodynamics , aortic valve , body orifice , doppler echocardiography , heart murmur , radiology , anatomy , diastole , blood pressure
Mini‐Abstract We present the case of a young man with severe eccentric aortic regurgitation, obstructing mitral inflow and provoking an audible Austin Flint murmur at clinical examination. Two‐dimensional color Doppler echocardiography depicts the remarkable mechanical interaction between aortic regurgitant jet and anterior mitral leaflet opening. Three‐dimensional transesophageal echocardiography aids in understanding the geometric and hemodynamic consequences of the regurgitant jet and in the genesis of the Austin Flint murmur. This case accentuates the incremental value of three‐dimensional echocardiography when evaluating valvular pathology, and offers more insight in the interaction between aortic regurgitant flow and mitral leaflet dynamics.