Prepared by : Dr.Hatem Bakarman supervised by: Dr.Hanan
Al-Baker
Slide 2
Introduction. Echo indications. Scores of MS. Assessment
severity of MS.
Slide 3
23years woman referred for possible BMV for Rheumatic MS.
Calculate a)mitral valve score. b)Mean PHT. C)MVA. DT=583mesc
Slide 4
Normal mitral valve Two leaflets. MVA = 4-6 cm 2.
Slide 5
RHD. Mitral annular calcification. Congenital. RA SLE.
Slide 6
increase LAP MVA MGP Pulmonary edema+ PHT Pulmonary venous
pressure RHF Pressure on right heart.
Slide 7
DX of MS & assessment of severity Re-evaluation in patient
known of Ms TTE Assessment of LA thrombus Evaluate severity of MS
befor PMBV Evaluation of MS when TTE is suboptimal TEE Class I
Revaluate in patient who known MS & stable clinical finding.
ClassIIa TEE is not indication routine evaluation of MS when TTE is
satisfactory. ClassIII ACC/AHA Guidelines for the Management of
Patients with Valvular Heart Disease Circulation 2006 Mild MS
:every 3-5 year moderateMS:every 1-3 year Severe MS:every 1
year
Slide 8
Assessment diminish mobility & doming of Ant leaflet.
Assessment morphology of MV (scoring). MVA (planimetry). LA
enlargement. & thrombus. RV enlargement. (HOCKEY STICK ).