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Fig. 1 | Cardiovascular Ultrasound

Fig. 1

From: 3D vena contracta area after MitraClip© procedure: precise quantification of residual mitral regurgitation and identification of prognostic information

Fig. 1

Vena contracta area determination by 3D–TEE is exemplarily shown for a DMR patient. Shown are MPR views at three time points. Each MPR view is based on one recorded data set and composed of a fourfold table. Top left (green box): midoesophageal long axis view. Top right (red): orthogonal plane to green box. Bottom left (blue): 3D–en face view to VCA (traced by red line). Bottom right: multislice representation of 9 evenly distributed slices parallel to 3D–en face view, used to find actual VCA plane. VCA was defined as the central laminar jet core (within red lines) as defined by current ASE guidelines [2]. Immediately after PMVR the residual regurgitant jet was split into at least two. VCA of each jet was determined separately and summed up. After PMVR, measurement of one jet is exemplarily shown. VCA: vena contracta area. DMR: degenerative mitral regurgitation. MR: mitral regurgitation. Σ: two residual jets were summed up. ASE: American Society of Echocardiography

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