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On-X Heart Valve Echocardiography

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On-X mitral valve
Transesophageal echo (TEE)
Simultaneous imaging and color Doppler
Mid-esophageal long-axis view
Low velocity regurgitant jets
Systole (valve is closed)
File: 25mmOn1.jpg

Published in: Health & Medicine
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On-X Heart Valve Echocardiography

  1. 1. • On-X mitral valve • Transesophageal echo (TEE) • Simultaneous imaging and color Doppler • Mid-esophageal long-axis view • Low velocity regurgitant jets • Systole (valve is closed) • File: 25mmOn1.jpg
  2. 2. • On-X mitral valve • Transesophageal echo (TEE) • Mid-esophageal long-axis view • Diastole (valve is open) • File: 25mmOn3.jpg
  3. 3. • On-X mitral valve • Transesophageal echo (TEE) • Color Doppler • Mid-esophageal 2-chamber view • 4 low velocity mitral regurgitant jets • Two jets on the left are more easily visible. • Systole (valve is closed) • File: 25mmOn4.jpg
  4. 4. • On-X mitral valve • Transesophageal echo (TEE) • Mid-esophageal 2-chamber view • Simultaneous imaging and color Doppler • 3 red low velocity regurgitant jets 3-4 cm long • Systole (valve is closed) • File: 25mmOnX.jpg
  5. 5. • On-X mitral valve • Transesophageal echo(TEE) • Simultaneous imaging and color Doppler • Mid-esophageal 4-chamber view • Two low momentum regurgitant jets at the pivot and a third at the leaflet edge • Systole (valve is closed) • File: 29mmOn5.jpg
  6. 6. • On-X aortic valve • Transthoracic echo (TTE) • Continuous wave Doppler through aorta • Gradient measurement through valve • Peak velocity about 1.6 m/sec • Mean gradient 5mmHg • File: OnX CW 01.jpg
  7. 7. • On-X aortic valve • Transthoracic echo (TTE) • Pulsed Doppler • Outflow tract (subaortic) • Taken for area measurement • EOA = 2.2 cm. sq. • File: OnX PW.jpg
  8. 8. • On-X aortic valve • Transthoracic echo(TEE) • Simultaneous imaging and color Doppler • Parasternal short-axis view • 4 low velocity regurgitant jets • File: OnX SA 02.jpg
  9. 9. • On-X aortic valve • Transthoracic echo (TTE) • Color Doppler • Parasternal short-axis view • 4 low velocity regurgitant jets • Blue jets are from the upper pivot points and the red jets from the lower pivots • File: OnX SA single 03.jpg
  10. 10. • On-X mitral valve • Transesophageal echo (TEE) • Simultaneous imaging and color Doppler • Mid-esophageal 4-chamber view • 4 low velocity regurgitant jets • There are two apparent pivotal washing jets and a jet around the leaflet to the left • File: new OnX 29 1.avi
  11. 11. • On-X mitral valve • Transesophageal echo (TEE) • Mid-esophageal 4 chamber view • Shows normal full opening of both leaflets. • File: new OnX 29 image alon.avi
  12. 12. • On-X aortic valve • Transthoracic echo (TTE) • Color Doppler • Apical 5 chamber view • Three low velocity regurgitant washing jets, 2 to the left and one on the right • File: OnX 5ch 06.avi
  13. 13. • On-X aortic valve • Transthoracic echo (TTE) • Simultaneous imaging and color Doppler • Parasternal long-axis view • Low velocity regurgitant jets • Upper pivotal point jet in blue, lower in red • File: OnX LA 07.avi
  14. 14. • On-X aortic valve • Transthoracic echo (TTE) • Color Doppler • Parasternal long axis view • Low velocity regurgitant jets • File: OnX LA single 08.avi
  15. 15. • On-X aortic valve • Transthoracic echo (TTE) • Color Doppler • Parasternal short-axis view • Regurgitant jets • Simultaneous imaging and color Doppler • File: OnX SA 04.avi
  16. 16. • On-X aortic valve • Transthoracic echo (TTE) • Parasternal short-axis view • Color Doppler • Low velocity regurgitant jets • Blue jets are from upper pivot and red from lower • File: OnX SA 05.avi
  17. 17. • On-X mitral valve • Transesophageal echo (TEE) • Mid-esophageal 2-chamber view • Simultaneous imaging and color Doppler • Low velocity regurgitant jets • Tilted to image leaflet edge to show a jet around the leaflet (on the left) as well as pivotal washing jets (on the right) • File: OnXsec.avi
  18. 18. • On-X mitral valve • Transesophageal echo (TEE) • Mid-esophageal 4 chamber view • Shows normal leaflet motion • File: OnX sec2.avi
  19. 19. • On-X mitral valve • Transesophageal echo (TEE) • Simultaneous imaging and color Doppler • Mid-esophageal long-axis view • Low velocity regurgitant jets • There are two small pivotal washing jets and a small jet around the leaflet edge (to the left) • File: OnX 29 02.avi
  20. 20. • On-X mitral valve • Transesophageal echo (TEE) • Simultaneous imaging and color Doppler • Mid-esophageal 2-chamber view • Low velocity regurgitant jets • File: OnX 29 03.avi
  21. 21. • On-X mitral valve • Transthoracic echo (TTE) • Parasternal long-axis view • There is normal leaflet motion of the implanted mitral valve. • The cusps of the native aortic valve are thickened and restricted. • File: OnX29 TTE 06.avi
  22. 22. • On-X double valves • Transthoracic echo (TTE) • Simultaneous imaging and color Doppler • Parasternal long axis view • File: OnX LA double 10.avi
  23. 23. • On-X mitral valve • Transesophageal echo (TEE) intraoperative • Color Doppler • 2 chamber view • Systole (valve closed) • Paraprosthetic leak • File: parap M1.jpg
  24. 24. • On-X mitral valve • Transesophageal echo (TEE) perioperative • Color Doppler image • Diastole (valve open) • normal forward flow • File: parap M2.jpg
  25. 25. • On-X mitral valve • Transesophageal (TEE) intraoperative • Color Doppler • 2 chamber view • Paraprosthetic leak • File: parap MR.avi
  26. 26. • On-X double valves • Transthoracic echo (TTE) • Color Doppler • Parasternal long axis view • Normal forward flow through the mitral valve • In systole, there is normal forward flow through the aortic valve with a signal void caused by shielding from the housing of the valve. • File: Two valves M3.avi
  27. 27. • On-X double valves • Transthoracic echo (TTE) • Color Doppler • Long axis view • Normal flow filling the whole mitral orifice in diastole • File: Two valves M4.jpg
  28. 28. • On-X double valves • Transthoracic echo (TTE) • Color Doppler • Parasternal long axis view • Flow through the aortic valve in systole with a signal void caused by shielding from the housing • File: Two valves M5.jpg
  29. 29. • On-X double valves • Transthoracic echo (TTE) • Color Doppler • Apical long axis view • Normal flow through the mitral valve • File: Two valves M6.avi
  30. 30. • On-X double valves • Transesophageal echo (TEE) • Color Doppler • Mid-esophageal 4 chamber view • Only mitral valve evident; normal forward flow and pivot washing jets, two laterally and one medially • File: Two valves new tee 4.avi
  31. 31. • On-X double valves • Transesophageal echo (TEE) • Mid-esophageal 4 chamber view • Only mitral valve is evident • File: Two valves new tee 5.avi
  32. 32. • On-X double valves • Transesophageal echo (TEE) intraoperative • Color Doppler • Mid-esophageal 3 chamber long-axis view • Small pivotal washing jets from the mitral valve within the left atrium and a small aortic valve washing jet in diastole and normal forward flow in systole • File: Two valves new tee 8.avi
  33. 33. • On-X double valves • Transesophageal echo (TEE) intraoperative • Mid-esophageal 3 chamber long-axis view • Air visible • File: Two valves TE1.avi

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