| Local intense mosaic pattern at site of flail mitral leaflet: report of a new color Doppler sign. | |
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MedLine Citation:
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PMID: 16194168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Color flow Doppler has been useful in diagnosing the presence and severity of mitral regurgitation (MR). We noted a hitherto unreported sign of MR due to flail mitral leaflet: intense local mosaic pattern at the site of the flail leaflet. This sign was seen well in 11 of 14 patients (79%) with the two-dimensional echocardiographic features of flail mitral leaflet, all with moderate or severe MR. In 3 other patients, the sign was absent; two of those had flail mitral leaflet with severe MR. No local mosaic pattern was seen on color Doppler in 20 other patients with MR but no flail mitral leaflet. We speculate that the focal intense mosaic color Doppler morphology may have been caused by intrusion of the flail leaflet into the MR stream, or to a Coanda-like effect of the MR jet "adhering" to the flail leaflet. |
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Authors:
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Rami N Khouzam; Ivan A D'Cruz; Daniel Minderman; Jacqueline Kaiser |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Echocardiography (Mount Kisco, N.Y.) Volume: 22 ISSN: 0742-2822 ISO Abbreviation: Echocardiography Publication Date: 2005 Oct |
Date Detail:
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Created Date: 2005-09-30 Completed Date: 2006-01-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8511187 Medline TA: Echocardiography Country: United States |
Other Details:
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Languages: eng Pagination: 743-5 Citation Subset: IM |
Affiliation:
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Cardiology Section, Memphis VA Medical Center, Memphis, Tennessee 38104, USA. khouzamrami@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Echocardiography Echocardiography, Doppler, Color* Female Hemorheology Humans Male Middle Aged Mitral Valve / ultrasonography* Mitral Valve Insufficiency / ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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