Altered Mitral Inflow Orifice in Severe Aortic Regurgitation: Real Time Three-Dimensional Echocardiographic Findings
Article first published online: 6 JUN 2013
© 2013, Wiley Periodicals, Inc.
Volume 31, Issue 1, pages E30–E32, January 2014
How to Cite
- Issue published online: 3 JAN 2014
- Article first published online: 6 JUN 2013
- mitral valve obstruction;
- aortic regurgitation
We present the case of a young man with severe eccentric aortic regurgitation, obstructing mitral inflow and provoking an audible Austin Flint murmur at clinical examination. Two-dimensional color Doppler echocardiography depicts the remarkable mechanical interaction between aortic regurgitant jet and anterior mitral leaflet opening. Three-dimensional transesophageal echocardiography aids in understanding the geometric and hemodynamic consequences of the regurgitant jet and in the genesis of the Austin Flint murmur. This case accentuates the incremental value of three-dimensional echocardiography when evaluating valvular pathology, and offers more insight in the interaction between aortic regurgitant flow and mitral leaflet dynamics.