Abstract
Article: Echocardiographic Assessment of Mitral Annual Disjunction with Cross-Correlation by Computed Tomography and Magnetic Resonance Imaging: A Case Series
Authors: Eric Kallstrom, MBA, ACS, FASE, FAIUM, FACC, Michael Rampoldi, ACS, RDCS, RVT, FASE, and Carlton Hartwell, ACS, RDCS, FASE
Category: Cardiac (Adult) [AE]
Credit: 0.75 SDMS CME Credit
Objectives: After studying the article you will be able to:
Discuss the role of echocardiography in the detection and management of mitral valve (MV) disease.
Recognize the role of sonographers in the evaluation of the MV disease.
Recognize the sonographic features of MV disease.
In what portion of the world’s population is mitral valve prolapse (MVP) found? 2-5% 3-9% 1-2% 7-10%
What is the term for the rarely documented phenomenon that is defined as a structural irregularity where a clear, fibrous separation exists between the left ventricular muscle and the MV annulus? Mitral Valve Prolapse (MVP) Mitral Annular Disjunction (MAD) Myxomatous Disease Mitral Regurgitation (MR)
In the first patient case, what was the patient’s left ventricular ejection fraction? 38% 55% 60% 65%
In the second patient case, what were the presenting symptoms? Palpitations Elevated Blood Pressure Chest Pain and Shortness of Breath Fever and Chills
In the third patient case, what was the measurement of the left ventricle/annulus (MAD) separation? 0.33cm 0.51cm 0.64cm 0.70cm
In the fifth patient case, what grade of left ventricular diastolic dysfunction was demonstrated? Grade 0 Grade I Grade II Grade III
What is MAD termed when the posterior mitral leaflet is inserted in diastole at the atrial-ventricular junction? Pseudo Paroxysmal Paradoxical Partial