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 Two patterns of the “crossed swords sign” for the accurate diagnosis of diverse mitral valve regurgitations

Kazuto Miyata, Sayaka Shigematsu
Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo, Japan

Correspondence Address:
Kazuto Miyata
Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_167_19

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Year : 2020  |  Volume : 23  |  Issue : 4  |  Page : 499-501

 
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The “crossed swords sign,” demonstrating the divergent jet, is visualized on 2-dimensional color Doppler imaging and indicates complicated mitral regurgitation (MR). We describe the cases of two patients with varying patterns of the crossed swords sign. In the first patient, the crossed swords sign was detected during the holosystolic phase. In the second patient, the direction of the MR jet changed according to the phase of systole: The crossed swords sign was formed by two regurgitation jets during different phases of systole. The crossed swords sign implies two patterns and is useful for the accurate diagnosis of complex MR.






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  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008

 

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Kazuto Miyata, Sayaka Shigematsu
Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo, Japan

Correspondence Address:
Kazuto Miyata
Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo
Japan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_167_19

Rights and Permissions

The “crossed swords sign,” demonstrating the divergent jet, is visualized on 2-dimensional color Doppler imaging and indicates complicated mitral regurgitation (MR). We describe the cases of two patients with varying patterns of the crossed swords sign. In the first patient, the crossed swords sign was detected during the holosystolic phase. In the second patient, the direction of the MR jet changed according to the phase of systole: The crossed swords sign was formed by two regurgitation jets during different phases of systole. The crossed swords sign implies two patterns and is useful for the accurate diagnosis of complex MR.






[FULL TEXT] [PDF]*


        
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  Sitemap | Feedback | Disclaimer | What's New |  
  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008