Mechanical: Difference between revisions

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|+ Normal Values Mechanical Mitral valve art<cite>1</cite>
|+ Normal Values Mechanical Mitral valve art<cite>1</cite>
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==Mitral regurgitation with prosthetic valve==
==Mitral regurgitation with prosthetic valve==
Hemodynamically significant (at least moderate) mitral regurgitation with prosthetic valves without obstruction . ( PHT <120 msec )
Hemodynamically significant (at least moderate) mitral regurgitation with prosthetic valves without obstruction. ( PHT <120 msec)
 
Peak inflow velocity > 1.9 m/s (CW - Doppler)
Peak inflow velocity > 1.9 m/s (CW - Doppler)
Peakgradiënt > 14 mmHg (CW - Doppler)
Peakgradiënt > 14 mmHg (CW - Doppler)
TVI MV inflow (CW - Doppler/TVI LVOT (PW Doppler)>2.5
 
TVI MV inflow (CW - Doppler/TVI LVOT (PW Doppler) > 2.5
 
These measurements can help you on the spot. Alert pathological mitraliskunstklep leakage after further research is needed with TEE.
These measurements can help you on the spot. Alert pathological mitraliskunstklep leakage after further research is needed with TEE.


==Related valve dysfunction with mechanical prostheses==
==Related valve dysfunction with mechanical prostheses==
Bjork- Shiley: strut fracture
Bjork- Shiley: strut fracture
Carbomedics: degeneration disc  
Carbomedics: degeneration disc  
Hancock bioprosthesis: Distortion stents causing stenosis
Hancock bioprosthesis: Distortion stents causing stenosis
Carpentier Edwards bioprosthesis: tear/holes in leaflets and development of stenosis
Carpentier Edwards bioprosthesis: tear/holes in leaflets and development of stenosis


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