[HSF] redo mitral case part 2 of 2

[Tea Acuff]

Thanks for your input. 
I sent out two images in different emails to hopefully let more data go through with each one. Does anyone know if this is necessary? Is there a way to "reloop" the single beat on your end so that we can watch the virtual cardiac cycle actually cycle?

I sent a four chamber view and a two chamber view. Neither may actually be specific for mitral valve analysis. Actually serial short axis views are the work horse for wall motion and structural issues (ischemia and SVR), but that is 6-8 loops to send.

Both of the studies were represetative of relatively normal hearts and valves. I wanted to acquaint you with the type of resolution of the muscle and its thickness and thickening regionally. I wanted you to see the normal appearance of the AV valve tissue. Apparently you can see the now famous "squeeze" of the annulus that was mostly a tactile sensation to you in the past. I wanted you to see how all (depending on the view) chambers can be seen at the same time and their relative size and synchrony. I wanted you to see how "cool" it is to see the inside of the heart to move as a whole or potentially look at a slice from any orientation that is not limited by "windows". 

Incidently, Bob, unlike your cadaver dissection or typical axial CT/MR, body habitus orientation is relatively irrelevant, but orientation of intra cardiac to epicardial anatomy in both systole and diastole and in between is easily understood. Hence my thoughts on the usefulness of epicardial nomenclature. (It's just linguistics, but how we frame "reality" matters.)

If we are good to go, or if we can make this better explained to me in non computer language,  (I probably can understand Chomsy linguistics better that Microsofts) I will send the pathology next (if my wife will help..who understands Microsoft better than Chomsy and may be more useful.)

tea


----- Original Message ----
From: "Rwmfglycar at aol.com" <Rwmfglycar at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Sunday, October 21, 2007 11:12:15 PM
Subject: Re: [HSF] redo mitral case part 2 of 2


Tea,
Thank you for the image. I am completely unfamiliar with this 4 chamber  view 
but I think it takes in the left papillary muscle, part of the posterior  
leaflet and part of the right anterior leaflet. The annulus appears to be  
contracting. The posterior leaflet segment seen is neither billowing nor  
prolapsing. However it looks to me as though there is billowing and probably  prolapse 
of the right side of the anterior leaflet.
I am concerned that one view of this kind is quite inadequate for a  
comprehensive evaluation of the mitral valve. The ventricle that is visible is  
functioning normally.
Bob



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