FLAIL MITRAL LEAFLET - ECHOCARDIOGRAPHY SERIES BY DR.ANKUR.K.CHAUDHARI

[@spr30]

Some nice images and an interesting case but... a)full papillary muscle rupture leads almost always to rapid pulmonary edema and cardiogenic shock which is not the case here so my guess it's a ruptured chordae possibly by severe myxomatous degeneration or rheumatic disease. Also PM rupture is almost always caused by transmural ischemia (MI) which again is not the case here b) the AS is severe based on the doppler and according to the ECS guidelines (small MeanGr40mmHg) but the valves opens well in 2d so thats a puzzler too...and c) the Tricuspid Reg isn't severe (the PG from the jet in severe TrR isn't so high due to ventricularization of the pressure in the RA). The tricuspid reg is moderate mainly secondary due to chronically increased RV afterload (precapillary pulmonary hyprtension due to chronic MR) but could have a primary degenerative cause as well (the valve is somewhat thickened). Finally I wouldn't be so keen as to eliminate the possiblility of rheumatic heart disease because of the multivalvular involvement

[@ygw7672]

감사합니다. 음악듣고 저까지 다 행복합니다.

[@kasuji1]

is the TR severe? visually appears more moderate unless other views demonstrated a larger jet

[@paclitaxel]

A mean gradient of 42mmHg clearly indicates severe AS!

[@briannduati08]

very nice..but that background music is soo annoying

[@ckfreeman20]

M-mode through AOV in the PLAX truly shows lack of loss of forward flow through the valve NOT due to LV systolic function but due to volume loss into the LA because of the MR severity. It also appears in different views that is most likely ruptured chordae rather than PM rupture. Zoomed views of the MV would be

[@ankurmontu]

@raindi100
MVP - one or both leaflet cross the mitral anulus.
FLAIL LEAFLET- Any portion of the mitral apparatus disrupted result in portion of MV becoming flail.
MVP - body of AML/PML buckling in LA.
FLAIL LEAFLET - TIP of AML/PML oscillate between LA & LV.
MVP-eccentric MR due to eccentric coaptation secoundry to prolapes.
FLAIL LEAFLET - disorgnized MR jet in LA.
complications of MVP- incude MR, RUPTURED CHORDAE,FLAIL LEAFLET,ENDOCARDITIS.

[@ReApEr789456]

Thanks Dr. Ankur!

[@ankurmontu]

Your welcome

[@ankurmontu]

@raindi100
pt with myxomatous valve can have prolapes. if endocardites developes in it ,may lead to ruptured of chordea may lead to flail leaflet.so
prolapes & flail can be preasent in same valve.

[@sohambabu86]

Awesome teaching

[@ankurmontu]

Thanks

[@hakimkasaby4816]

excellent work

[@ankurmontu]

Thanks

[@costcostore7376]

3:43 I believe some of your values are incorrect. According to ASE/EACVI Guidelines… moderate is between 20-40 mmHg, while severe is over 40 mmHg. Therefore, this result you have should be severe and not moderate, from the ASE guidelines strictly speaking.

[@gladysb0520]

I dont get why this music is so happy ?

[@ruperttmls7985]

2:50 no lo se, pero esta muy bueno ese solo del baterista jajajaja

[@0xnlli]

nice case thank you

[@ankurmontu]

Thanks

[@ckfreeman20]

TEE should be next on the list and repair of MV.

[@saraali-ho8fx]

Like very much hiw present tge case

[@0xnlli]

Aortic PG 42=severe Aortic stenosis

[@jimbor8774]

our lab uses the mean gradient which severe is over 40 mmHg

[@geethalakshmi3477]

Thanks sir

[@mustaafabapumia6006]

That Music is annoying 😒

[@homahealthcarecenter]

great

[@ankurmontu]

Thanks

[@mujahid03130]

AS>40 SEV AS

[@ckfreeman20]

@ckfreeman20 more conclusive.

[@jbg9866]

You like jazz?

[@ahmadchaer4829]

Mreci

[@stephaniesalim3480]

haiii

[@ankurmontu]

stephanie salim
hello.

[@cytomeer]

i hate the music

[@Shadeslayer200593]

Timepass