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Aortic Regurgitation

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JLS Interactive, LLC
JLS Interactive, LLC

A PowerPoint presentation on the basic of Aortic Reguritation evaluation by TEE. Dr Terry Bejot is a cardiovascualr anesthesiologist who is also the creator and publisher of E-echocardiography.com, the online course and resource for learning TEE.

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Aortic Regurgitation
Aortic Regurgitation
Aortic Regurgitation
LA NCC LCC RCC RV Plane of Sinus of Side View Valsalva Annulus Free Edge Aorta Commissure Coaptation Frontal View Leaflet Surface Nodule of Sino- Arantus Tubular LV Side View Junction
Aortic Regurgitation
Aortic Regurgitation
Aortic Regurgitation
Aortic Regurgitation
Aortic Regurgitation
Aortic Regurgitation
Aortic Regurgitation
Aortic Regurgitation
Severity AR Jet/LVOT Diameter Mild < 25% Mod 25-50% Severe > 50% Severity AR Depth Mild < 2 cm below AV Mod 2 cm below AL of MV Severe Jet to Pap Ms
Aortic Regurgitation
Aortic Regurgitation
Decel Slope measured by CWD from DTG view Rate at which the LV and Aortic pressure equalizes Is a function of the severity of AR
Time (sec) Velocity m/sec A E VTILVI Forward SV = CSALVI x VTILVI LV Time (sec) Velocity m/sec VTILVOT (cm) Total SV = CSALVOT x VTILVOT CSA(cm2) = 0.785 x D2 Regurgitant SV = Total SV – Forward SV RF = Regurgitant SV – Total SV
Aortic Regurgitation
Aortic Regurgitation
α 45 cm/sec r RJ RV = 2 π r2 * Va * α /180 Va = 45 cm/sec ROarea = RV / VTI RJ
Aortic Regurgitation
Aortic Leaflet Separation Aortic Arch Lack of Dilation Coaptation Aortic Regurgitation
Aortic Regurgitation
Aortic Regurgitation
Aortic Regurgitation

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Aortic Regurgitation

  • 4. LA NCC LCC RCC RV Plane of Sinus of Side View Valsalva Annulus Free Edge Aorta Commissure Coaptation Frontal View Leaflet Surface Nodule of Sino- Arantus Tubular LV Side View Junction
  • 13. Severity AR Jet/LVOT Diameter Mild < 25% Mod 25-50% Severe > 50% Severity AR Depth Mild < 2 cm below AV Mod 2 cm below AL of MV Severe Jet to Pap Ms
  • 16. Decel Slope measured by CWD from DTG view Rate at which the LV and Aortic pressure equalizes Is a function of the severity of AR
  • 17. Time (sec) Velocity m/sec A E VTILVI Forward SV = CSALVI x VTILVI LV Time (sec) Velocity m/sec VTILVOT (cm) Total SV = CSALVOT x VTILVOT CSA(cm2) = 0.785 x D2 Regurgitant SV = Total SV – Forward SV RF = Regurgitant SV – Total SV
  • 20. α 45 cm/sec r RJ RV = 2 Ï€ r2 * Va * α /180 Va = 45 cm/sec ROarea = RV / VTI RJ
  • 22. Aortic Leaflet Separation Aortic Arch Lack of Dilation Coaptation Aortic Regurgitation