European Heart Journal · 2011 · 17 citations · 0 references
MedicineCardiologySurgeryCardiothoracic SurgeryPulmonologyUltrasonographyCardiac Valve SurgeryEchocardiographic Hemodynamic AssessmentEdemaMitral Valve DiseaseSurgical Valve ReplacementValvular Heart DiseaseMitral Valve Disease ImagingMitral Valve EvaluationMitral Valve HemodynamicsPressure Gradient MeasurementProsthetic Valve AssessmentProsthetic Valve EvaluationProsthetic Valve ManagementProsthetic Valve Obstruction
A 53-year-old woman was admitted for dyspnoea. Her past history included mitral valve replacement (mechanical, tilting disc) 20 years earlier. The patient was well coumadinized both on admission and during the previous months. X-ray demonstrated pulmonary oedema. A transoesophageal echo (TEE) study was preformed to evaluate a high diastolic pressure gradient across the prosthetic valve ( Figure ). The TEE findings …