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Case of the week – 07-11: Valvular disease by CMR

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

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Case of the week – 07-11: Valvular disease by CMR

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  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. 2004;13:600-7 Maksimovic R et al. Cardiac imaging in rheumatic diseases. Rheumatology (Oxon). 2006;45:iv26-iv31 Niall G Keenan, Agata Grasso and Sanjay K Prasad. Department of CMR, Royal Brompton Hospital, London, UK

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