13.07.2015 Views

DK2985_C000 1..28 - AlSharqia Echo Club

DK2985_C000 1..28 - AlSharqia Echo Club

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Mitral Valve Replacement and Repair 433(A)FA0°12:0030°(C)RAALAD60°RVLVEA9:00 3:0090° BP6:00180°D150°C120°(D)BLALVE(B)(E)CLAFFALVAoEBCLEFT ATRIALAPPENDAGEDFigure 18.24 Localization of the para-annular jet using the transesophageal echocardiographic angles (0–1808) (A), the surgeon’sview (B), and three mid-esophageal views (C–E). Note that the angle may vary +158 (Ao, aorta; LA, left atrium; LV, left ventricle;RA, right atrium; RV, right ventricle).(A)(B)LARVLVFigure 18.25 Mid-esophageal view with color-flow imaging showing a periprosthetic regurgitation (passing outside the sewing ring)as well as transvalvular prosthetic functional converging regurgitant jets. Periprosthetic leak shown here corresponds to 12:45 in thesurgeon’s view (LA, left atrium; LV, left ventricle; RV, right ventricle).

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