By Dawn B. Marks
Used this publication for the 1st 12 months miniboard in med institution. It used to be a very good overview. not anything amazing.
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B) Continuous wave Doppler velocities across the ridge showing a peak pressure drop of 50 mm Hg. 12. (A) Parasternal long-axis and (B) apical five chamber views from a patient with a complete outflow tract ring involving the anterior leaflet of the mitral valve. Small Aortic Root 47 Tunnel-like aortic root stenosis requires aortic root and valve replacement. Isolated valve replacement does not cure the condition. 3. Small Aortic Root In this condition, there is no evidence for aortic leaﬂet disease but the aortic root itself and the proximal ascending aorta are small in size, less than 20 mm in diameter.
Parasternal long-axis view is used to assess the valve mobility and cusp separation. The characteristic doming of the valve leaﬂets in systole is best seen from this view and the aortic root diameter can also be measured. Parasternal short-axis images are usually helpful in deciding on the number of aortic valve leaﬂets, particularly in the absence of signiﬁcant calciﬁcation. Although true bicuspid aortic valve is easy to recognize from short-axis view, in some cases fusion of two of the three cusps would make the valve functionally bicuspid.
2. Parachute Mitral Valve While normal mitral valve leaﬂets are supported by the anteromedial and posterolateral papillary muscles, parachute mitral valve is supported by either one papillary muscle, two fused papillary muscles, or three chordae attached to one head of papillary muscle. Although parachute mitral valve leaﬂets are anatomically abnormal, their function may be completely normal or only mildly stenosed. 28 2. 3. (A) Parasternal long-axis and short-axis views from a patient with double orifice mitral valve.