Case of the week 0711: Valvular disease by CMR

1
Case of the week 07-11 Valvular disease by CMR
Clinical A 74 year old female with increasing
breathlessness. Known rheumatic heart disease and
LVH. Cine CMR No1. LVOT mixed aortic and mixed
mitral valve disease No2. cross-cut of mitral
valve showing doming of valve leaflets and mild
jet formation during LV filling No3. short axis
of aortic valve. Valve area 0.8cm2. No4. short
axis of mitral valve. Valve area 2.4cm2. Mild
MS. Perspective CMR provides an alternative to
echo for the assessment of valvular
disease Scanner Siemens Avanto References Kon
MW et al. Quantification of regurgitant fraction
in mitral regurgitation by CMR comparison of
techniques. J Heart Valve Dis.
200413600-7 Maksimovic R et al. Cardiac imaging
in rheumatic diseases. Rheumatology (Oxon).
200645iv26-iv31
Niall G Keenan, Agata Grasso and Sanjay K Prasad.
Department of CMR, Royal Brompton Hospital,
London, UK