 |
|
HEART TO HEART BLOG INTERESTING IMAGES |
|
|
|
| Year : 2015
| Volume
: 18 | Issue : 4 | Page
: 587-588 |
|
| Which valve is which? |
|
|
Pravin Saxena1, Anil Bhan2, Rajesh Kumar Sharma3, Yatin Mehta1
1 Department of Anaesthesiology and Institute of Critical Care, Medanta . The Medicity, Gurgaon, Haryana, India
2 Department of Cardiac Surgery, Medanta The Medicity, Gurgaon, Haryana, India
3 Department of Peadiatic Critical Care, Medanta The Medicity, Gurgaon, Haryana, India
Click here for correspondence address and
email
| Date of Web Publication | 1-Oct-2015 |
|
|
 |
|
 Abstract | | |
A 25-year-old man presented with a history of breathlessness for the past 2 years. He had a history of operation for Tetralogy of Fallot at the age of 5 years and history suggestive of Rheumatic fever at the age of 7 years. On echocardiographic examination, all his heart valves were severely regurgitating. Morphologically, all the valves were irreparable. The ejection fraction was 35%. He underwent quadruple valve replacement. The aortic and mitral valves were replaced by metallic valve and the tricuspid and pulmonary by tissue valve.
How to cite this article:
Saxena P, Bhan A, Sharma RK, Mehta Y. Which valve is which?. Ann Card Anaesth 2015;18:587-8 |
A 25-year-old man presented with a history of breathlessness for the past 2 years. He had a history of operation for Tetralogy of Fallot at the age of 5 years and history suggestive of Rheumatic fever at the age of 7 years. On echocardiographic examination, all his heart valves were severely regurgitating. Morphologically, all the valves were irreparable. The ejection fraction was 35%. He underwent quadruple valve replacement. The aortic and mitral valves were replaced by metallic valve and the tricuspid and pulmonary by tissue valve.
Recovery was uneventful, and the patient discharged on the 7 th postoperative day.
Day 1: X-ray is shown above. Can you identify all four prosthetic valves?
 View Answer
| Answer | |  |
The location of the cardiac valves is best determined on lateral radiogram. A line is drawn from the carina to the cardiac apex. The pulmonary and aortic valves set above this line, whereas the tricuspid and mitral valves sit below this line. A second technique to further localize the prosthetic valves involves drawing a second line which is perpendicular to the patient's upright position which bisects the cardiac silhouette. The aortic valve projects in the upper quadrant, the mitral in the lower quadrant, and the tricuspid in the anterior quadrant.
Nil.
Conflicts of interest
There are no conflicts of interest.
Correspondence Address:
Pravin Saxena
Institute of Critical Care and Anaesthesiology, Medanta The Medicity, Gurgaon - 122 001, Haryana
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9784.166477
|
|
|
|
|
|
|
|
|
|
