Case Studies

UDiagnoseIT Blog


UDiagnoseIT 1

Video clip courtesy:
Dr. Sohail Abrar, Dr. Sajid Dhakam, Dr. Nasir Rahman, and Muniza Yousef
The Aga Khan University Hospital
Cardiopulmonary Department
.


Review the video and send in your interpretation stating why. Your responses will be automatically added to the blog.


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Responses:
Nickname:  scannerman
Interpretation:  I think that it is a ruptured chord. It looks like a "snake's tongue" moving back and forth.

Nickname:  Little Bill Daggett "Sheriff "
Interpretation:   I say it is a vegatation in my humble opinion as a echocardiographer.

Nickname:  charles
Interpretation:  I think that it is a veggie, too.

Nickname:  Lindsay
Email:  snow2069@aol.com
Interpretation:  Difficult to distinguish betweek ruptured chordae vs vegetation. It is most likely a vegetation b/c both the anterior and posterior mitral valve leaflets show echodenisty. TEE images would be nice!

Nickname:  dolphinonboard
Email:  yunucev@gmail.com
Interpretation:  vote for vegetation (mr jet not eccentric, seems "moderate", suggests attachment on the atrial side of the valve etc). Attention: what is that echo brightness at the region of AL papillary muscle?

Nickname:  Cindy
Interpretation:  This appears to be a ruptured chordae.

Nickname:  Darth Obi Wan Kenobi
Interpretation:  A veggie on the mitral valve.

Nickname:  Echo-Web Fan
Interpretation:  Ruptured chordae most likely. What about a myxoma/tumor starting with attachment in a strange spot?

Nickname:  ekoeko
Interpretation:  prob sbe long standing LA increased mod MR MV coapts OK no wallmotion abn seen to suggest ischemic tear for flail chordae ?AMVL myxomatous changes or additional sbe

Nickname:  Bunny
Email:  ineszimbarra@gmail.com
Interpretation:  flail posterior mitral leaflet in a myxomatos valve? Short axis could have helped.

Nickname:  maf
Email:  mafowler@att.net
Interpretation:  The aortic valve appears abnormal as well but not flamentous like the PMVL.Enlarged DTA? Long standing volume overload. Myxoma/tumor is my vote.PMVL appears to flail into LA also. TV not like MV in appearance. Cannot rule out veggie though.

Nickname:  Jeff
Email:  audione@gmail.com
Interpretation:  Torn Chordae Tendinae of the PMVL.

Nickname:  George
Interpretation:  Ruptured Chordae I believe but can not rule out veg.

Nickname:  David
Email:  dmutmaza@hotmail.com
Interpretation:  AMV Leaflet thickened (vegetation), PMV Leaflet going back and forth due to ruptured chord in the clinic set of Septic Endocarditis in a patient with Chronic Moderate MR with dilation of the LA. There is olso some degree of sclerosis in the AV. TEE will be helpful to rule out thrombus or mixoma.

Nickname:  David
Interpretation:  What I saw in the AV look like a vegetation more than sclerosis.

Nickname:  dranand
Interpretation:  rupture papillary muscle producing mitral regurgitation

Nickname:  jan steyn
Email:  jsteyn@lantic.net
Interpretation:  if one look at the whole picture with the mitral and aorta valves that is thickend and volume overload in die lv and la it seems that this is rumatic changes of the valves. The changes it being a rupture of the posterior chordae tendinoe is good.if one look at the mitral and aorta valves it is thickened and there is a prolapse of both valves it can also be degenerative type of mitral valve prolapse with subsequent rupture of the chordae.

Nickname:  vincent
Email:  pyvincen@club.fr
Interpretation:  valvular aortic desease;valvular mitral desease with ruptured chordae of little valve , the all evocated a old rhumatic desease.

Nickname:  slossie
Email:  sloss1475@hotmail.com
Interpretation:  I think that this is a mitral valve rgeurg

Nickname:  gringasmiles
Interpretation:  looks to me like a rupture cord with a dialated left atrium and the mitral valve leaftlets look myxomatous, tee woould be suggested

Nickname:  Gora
Email:  elgmart@yahoo.com
Interpretation:  I think it is a rupture of chordae of PMVL secondary to long standing high end diastolic pressure in LV due to CM with valves leaflets degeneration (flail AMVL).

Nickname:  hello
Email:  usha_gunasekaran@yahoo.com
Interpretation:  There is ruptured of chordae & myxomatous mitral valve with MR.Dilated LA .Aortic valve thickened Require TEE.Very good case for presentation.

Nickname:  dr chanti
Interpretation:  vegetation on pml both mv and aortic valves involved in chonic Rhd severe MR

Nickname:  adi levy
Email:  jodi_karem@yahoo.com
Interpretation:  vegetation on mv.

Nickname:  BARBARA FROM CHICAGO
Interpretation:  VERY OBVIOUS VEGE ON MV. 1.THE VERY MOBILE ECHOGENIC STRUCTURE IS THICKENED THAN CT. 2.THE STRUCTURE IS ORIGINATED FROM THE LA SIDE ON THE PMVL. MR IS NOT ECCENTRIC(????). 3.AORTIC VALVE BICUSPID VS PROLAPSE PLUS SUSPECIOUS NODULAR ECHOGENIC ON AV, AORTIC ROOT SIDE. 4.MV IS THICKENED. 5.MR MILD TO MODERATE. 6.CAN NOT R/O MVP DUE TO THE MV THECKENING. 7.POSSIBLY APICOSEPTAL HYPO TO AKINESIS BUT THE APEX IS NOT VISUALIZED. THANK YOU. TR2000RT@YAHOO.COM (FOR COMMENTS)

Nickname:  BARBARA FROM CHICAGO
Email:  TR2000RT@YAHOO.COM
Interpretation:  AND ALSO 1. TEE IS NECESSARY 2. BLOOD CULTURE IS NECESSARY

Nickname:  ak
Interpretation:  ruptured posterior pappilary muscle head flail,LAE, sclerotic aortic valve with poor excursion,mild AS,with aortic valve doming, central 3+ MR jet,MAC/MS, apical/septal wall hypokinesis, suspect blockage of the LAD. Evidence of LVH with ischemic heart disease.

Nickname:  echoman40
Email:  echoman40@comcast.net
Interpretation:  SBE Mitral and Aortic valve Dilated LA 2-3+ MR

Nickname:  Ruthe
Interpretation:  Flail mitral leaflet va vegetation, MR, Enlarged LA Sclerotic ao leaflets

Nickname:  rdcs1959
Email:  rdcs1959@yahoo.com
Interpretation:  Flail AMVL., ruptured chord.

Nickname:  edu
Email:  ekahsait@yahoo.com
Interpretation:  mitral regurgitation

Nickname:  eduk
Interpretation:  I think it is vegetation.

Nickname:  Raj
Interpretation:  I think it is ruptured chordae of PMVL

Nickname:  Hec
Interpretation:  Ruptured chordae and flail mitral valve segment in pt with Infectious native valve Endocarditis.

Nickname:  Terri mcanallen
Interpretation:  veg on the mv leaflets!

Nickname:  lyndynojo
Interpretation:  i think it is a veggie. in the last views the chordae is visible

Nickname:  anca
Email:  anca32004@yahoo.com
Interpretation:  AMV Leaflet thickened pb vegetation, PMV Leaflet ruptured chord in Septic Endocarditis in a patient with Moderate MR with dilation of the LA. There is olso some degree of sclerosis in the AV. TEE will be helpful to rule out thrombus or mixoma.

Nickname:  DWIMER
Interpretation:  THICKENED TORN POSTERIOR MV CHORDAE OR POSSIBLE MV THROMBUS.

Nickname:  Grandma Linda
Interpretation:  definitely a ruptured chordae.

Nickname:  Ped Echo
Interpretation:  I think it is a vegetation because the chordae is visible from the apical views.

Nickname:  Oss
Interpretation:  ruptured prolapsing cordae

Nickname:  lyndynojo
Interpretation:  vegetation

Nickname:  jose valdes
Email:  angelvaldes64@prodigy.net.mx
Interpretation:  cordae tendinae rupture mitral insufficiency vegetation in posterior leaflet of mitral valve

Nickname:  Troy
Interpretation:  Ruptured chordae

Nickname:  Magee
Email:  mmmagee@novanthealth.org
Interpretation:  I think this is a ruptured chordae with vegetation. The myxomatous posterior mitral leaflet appears to be flail but the measured structure is too long to be chordae alone.

Nickname:  2ndsight
Email:  krpullins@yahoo.com
Interpretation:  torn/ruptured Pap Musc.

Nickname:  focalzone
Interpretation:  Looks like a ruptured chordae

Nickname:  Sophie
Interpretation:  Could be a ruptured chordae or possibly vegetation.

Nickname:  Tony
Interpretation:  I know that there are many considerations with wall motion abnormalities, valve closure, etc. but I think it is a vegetation.

Nickname:  ANNE
Email:  annabeloraa16@yahoo.com
Interpretation:  Myxomatous MV with elongated linear vegetation attached to the PMVL moving inside the LV during diastole and into the LA during systole with moderate MR.

Nickname:  panky
Email:  rpanky@yahoo.com
Interpretation:  mitral stenosis ,with flail posterior cusp and mr ,dilated la and bicuspid aortic valve

Nickname:  shobug
Email:  sautre@bellsouth.net
Interpretation:  veg

Nickname:  letty
Email:  lrrdcs@yahoo.com
Interpretation:  vegetation of the posterior mv leaflet or flail leaflet.

Nickname:  nan
Email:  uffelman128@comcast.net
Interpretation:  torn chordae

Nickname:  Rachid
Email:  TR2000RT@YAHOO.COM
Interpretation:  Ao V thickenened, possibliy bicuspid Ao V is present. MVL is thickened with an obviuos vegetation attached to the PMVL. 3+ MR Possibly apical wall is depressed. LA enlarged

Nickname:  magpie
Email:  ctmaki@hotmail.com
Interpretation:  I believe that the mobile object is a vegetation. Seems to originate on the atrial side of the valve, also too thick to be an isolated chord. The mitral valve appears rheumatic. The aortic valve is also calcified.

Nickname:  drprasad
Email:  drmagantiprasad@gmail.com
Interpretation:   Infective Endocarditis of both MV&AV MYXOMATOUS MV, MODERATE MR , DILATED LA, FAIR LV FUNCTION ?BICUSPID AV

Nickname:  heartthrob
Email:  mgamon72@aol.com
Interpretation:  ruptured chordae ...maybe secondary to posterolateral infarct.

Nickname:  huygdyk
Email:  huygdyk@gmail.com
Interpretation:  I agree with scannerman: that it is a ruptured chord

Nickname:  James
Email:  jtho013@yahoo.com
Interpretation:  

Nickname:  Darryl Burford
Email:  darrylburford@yahoo.com
Interpretation:  mital v. M.R. with hockey rumatic mital v posterior.

Nickname:  rada
Email:  drradabulley@hotmail.com
Interpretation:  severly dilatedLA,moderate MR.vegitation on PMVL,very mobile.Infective endocarditis

Nickname:  mowlavi
Email:  jalal_mowlavi@yahoo.com
Interpretation:  rupture chorda

Nickname:  Jmann
Email:  jlclark68@yahoo.com
Interpretation:  Thicken ant mvl Flail post mvl vs chorde rupture bi-atrial enlargement apical motion impairment eccentric mr moderate reduced lv function

Nickname:  krashid
Email:  krashid@sbcglobal.net
Interpretation:  Ruptured chordae/papillary muscle

Nickname:  rose
Email:  sansmansandgirl@aol.com
Interpretation:  this is a veg

Nickname:  srini
Email:  shardasrinivasan@hotmail.com
Interpretation:  I think its a veg

Nickname:  Deepa
Email:  deepa7316@yahoo.com
Interpretation:  In my opinion its Flail mitral valve . Reasons ; 1 Noncoapting mitral leaflets ,with posterior leaflet has its own chaotic movements . 2 Dilated LV and LA 3 severe MR $ On ECG tracing ,multiple arrythemias ,Af ,multiple PVCs and a run heart blocks, VF The differential diagnosis will be Vegetation on Mitral valve

Nickname:  sonographer
Email:  hussainentsar@yahoo.com
Interpretation:  MR, LAE, vegetation. suggest TEE

Nickname:  Lizzie
Email:  Neuroth74@hotmail.com
Interpretation:  Dilated hypertrophic cardimyopathy, with Mitral Valve endocarditis with serpiginous material, moderated MR, severly dilated LA, aneurysmal IAS

Nickname:  Mel
Email:  Mel60411@aol.com
Interpretation:  I think it may be a ruptured chord

Nickname:  1SouthGAgirl
Email:  dapmo_03@yahoo.com
Interpretation:  The LV and LA appears to be dilated with some calcification on the aortic valve leaflets. There is moderate to severe mitral regurgitation. The posterior mitral valve leaflet is flopping into the LA as well(flail leaflet). The posterior wall of the LV appears to be hypertrophied. The left atrial appendage appears to be dilated.

Nickname:  Gary
Email:  Blagdongj@yahoo.com
Interpretation:  It appears to be a ruptured MV chordae. The place of attachment of the piece of tissue dosn't make me think its a vegetation. However, the MAC and thickened posterior wall makes it more difficult to make an accurate diagnosis.

Nickname:  serdar
Email:  serdarpedawi@yahoo.com
Interpretation:  ruptured chorde , flial mirtal valve mostly post MI

Nickname:  SAM THE MAN
Email:  AMGADSALEM@YAHOO.COM
Interpretation:  ITS FOR SURE RUTURED CHORDAE . ALWAYS LOOK FOR PATIENT HISTORY FOR ANY FEVER AND SKIN LESIONS, AND UNDER PRESSURE ,IF ITS VEGITATION WILL BREAK OFF , AND ITS HARD TO BUILD UP AS SNAKE TAIL . LOOK AT THE POSTERIOR WALL OF LV AND LOOK AT THE AREA OF THIS ATTACHEMENT .

Nickname:  omar
Email:  omaralonzo@gmail.com
Interpretation:  i would say its a ruptured chord

Nickname:  brooke
Email:  ctaylor3106@yahoo.com
Interpretation:  EF 45%,severe LAE, inferolateral hypokinesis, poss rheumatic valve disease, severely calcified AV/MV, bileaflet MVP w/mod MR,ruptured PMVL chord, probably due to an inferolateral MI, volume overload possibly due to long standing HTN, AS, or CHF, needed more images to know and pt HX

Nickname:  duwand
Email:  jacksonduwand@gmail.com
Interpretation:  torn chordae,vegetation,moderate mr,thickened aov,dilated la,ef at normal limits....the vegetation billows into the la in systole which is a hallmark finding of a mv veggie,mv is also thick and myxomatous

Nickname:  jaafar
Email:  jsami68@yahoo.com
Interpretation:  Rupture tendeni with flail leaflet with sever mitral regurgetatin

Nickname:  larisa
Email:  pnlarisa@yahoo.com
Interpretation:  vegetation on posterior mitral valve, vegetation on aortic valve, mitral failure.

Nickname:  lee
Email:  leemonthomas@hotmail.com
Interpretation:  ruptured chordae of pml

Nickname:  echofan
Email:  skumaar99@yahoo.co.in
Interpretation:  ruptured chordae of PML with severe MR

Nickname:  jef
Interpretation:  Looks like a vegitation or ruptured chordae

Nickname:  RAVI
Email:  rock_ravi@yahoo.com
Interpretation:  RUPTURE CORD WITH SEVERE MR LA DILATATION need more views to confirm diagnose. SAX may help to differentiate

Nickname:  tim
Email:  timurush@yahoo.com
Interpretation:  ruptured posterior mitral chordae.mitral regurgitation. aortic stenosis possible. left atrium enlargement.hypokinetic septum.. enlarged dta.ef decreased. possible vegetation.

Nickname:  Stephanie
Email:  sgodwin11@gmail.com
Interpretation:  ruptured chordae

Nickname:  sonostar
Email:  ymerilice@yahoo.com
Interpretation:  Calcified Aortic cusp Left Ventrical Dilitation, Ruptured Cordonea Tendonea MVP

Nickname:  sgarg
Email:  gsangy@yahoo.com
Interpretation:  torn posterior leaflet chordae leading to flail mitral valve

Nickname:  LAODICEE
Interpretation:  RUPTURED CHORDAE VS VEG

Nickname:  eenieminnie
Interpretation:  Most likely a vegetation. The chordae, though briefly imaged, appears taught and intact. Furthemore, with a ruptured chordae there is usually evidence of the remnant at it's LV attachment which is not evident in the clips.

Nickname:  Michaela
Email:  michaelaherbert@charter.net
Interpretation:  Vegetation on the posterior mitral valve leaflet

Nickname:  ajay
Interpretation:  ruptured chordae. MR. DILATED LV . DILATED LA.

Nickname:  Mesopotamia
Interpretation:  Ruptured chordae with moderate to severe MR & possible ant.MVP

Nickname:  aicha
Email:  ouadahaicha@hotmail.com
Interpretation:  fibroelastoma

Nickname:  lisa
Email:  the4ts@bellsouth.net
Interpretation:  flail chordal structures

Nickname:  Don P.
Email:  perkinsclan0820@gmail.com
Interpretation:  VEGETATION ON THE mv RUPTURED CHORDAE

Nickname:  dolton
Email:  dhilani@hotmail.com
Interpretation:  flial mitral posteriol walve probebly due to rupture cordea and severly enlarged LA due to severe regergitation

Nickname:  Amy
Email:  Amy.Baars@ministryhealth.org
Interpretation:  Ruptured chordae of PMVL

Nickname:  Sonoone 2
Email:  yolan66p@aol.com
Interpretation:  I think its a vegetation on the mitral valve leaflet.

Nickname:  donea
Email:  mireydr@yahoo.com
Interpretation:  Végétation

Nickname:  Mr6minuteecho
Email:  duwandjackson@ymail.com
Interpretation:  Endocarditis of posterior mitral valve leaflet likely due to mvp,thickened mv leaflets and sclerotic aov ,moderate mitral regurgitation,moderately enlarged left atrium,TEE suggested for further detailed analysis of valvular morphology

Nickname:  Mr6minuteecho
Email:  duwandjackson@ymail.com
Interpretation:  Mitral valve vegetation due to mvp.thickened mv leaflets.sclerotic aov which could be stenotic cause diastolic doming is present.moderate mitral regurgitation.moderately enlarged left atrium..dilated coronary sinus....WHERES THE DOPPLER?

Nickname:  Mr6minuteecho
Email:  duwandjackson@ymail.com
Interpretation:  Mv vegetation due to mvp.thickened mv leaflets.sclerotic aov with possible stenosis cause diastolic doming is present on psax view..moderate mr and moderately enlarged la..enlarged dta...tee suggested for a more accurate accessment of valvular morphology..WHERES THE DOPPLER?

Nickname:  chevy
Email:  chivukula123@gmail.com
Interpretation:  flail lealet

Nickname:  Cheap Red Bottoms
Email:  crkrxkg@gmail.com
Interpretation:  Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You clearly know what youre talking about, why waste your intelligence on just posting videos to your weblog when you could be giving us something informative to read?

Nickname:  Imica
Email:  ismoljan@yahoo.com
Interpretation:  vegetation on PML - too thick for a chord.

Nickname:  Kate
Interpretation:  Rupchured Chordae + vegitation ov MV. MOder-severe MR. Dilated CM. It can't be Myxoma, it sould be by the IAS first. Calcif. AoV.

Nickname:  ropivacaine
Email:  sumsyangyang@hotmail.com
Interpretation:  MR MV posterior leaflet vegetation. DDX cadiac tumor. some thickening of AV valve. dilated LA.

Nickname:  Amber
Email:  amber.vines@gmail.com
Interpretation:  MV vegetation

Nickname:  tbright88
Interpretation:  vegetation on pmvl

Nickname:  K.Redd
Interpretation:  It looks like a ruputured chordae. I saw another video and these look very similar.

Nickname:  laurend
Email:  lauraad884@aol.com
Interpretation:  ruptured chord, endocarditis veggie, or maybe papillary fibroelastome ( but least likely)

Nickname:  Robinson, Shelby
Interpretation:  There looks to be a mobile vegetation on the posterior leaflet of the mitral valve. It looks like the anterior leaflet is thickened also. As a result there is an eccentric MR jet.

Nickname:  Iceberg
Email:  icebergislanders@hotmail.com
Interpretation:  Vegetation with resultant MR, on background of chronic AV and MV disease with poor LV and LA function

Nickname:  Singleton
Interpretation:  I'm going to have to go with ruptured chordae on this one. It has a strand-like appearance rather than a stalk like a veg would likely have.

Nickname:  bconnolly
Interpretation:  I think it is a vegetation on the MV leaflet

Nickname:  Talent
Email:  stalent@ymail.com
Interpretation:  I feel this may be diagnosed as a ruptured chord.

Nickname:  JWhittemore
Email:  Jkwhittemore@yahoo.com
Interpretation:  Ruptured chordae tendinae involving the PMVL.

Nickname:  eCarroll
Interpretation:  I believe this is a ruptured chordae tendineae that is mobile with forward flow and mitral regurgitation.

Nickname:  ldunbar
Interpretation:  torn chordae or possible vegetation on the posterior mitral valve leaflet.Moderate MR. Thickened mitral and aortic leaflets. Dilated LA.Hypokinesis in the apex.

Nickname:  Rock
Email:  iris4407@live.com
Interpretation:  ruptured cord

Nickname:  SKelley
Email:  infarction10@gmail.com
Interpretation:  Ruptured Chordae on PMVL, MR, LAE, Possible posterior wall MI.

Nickname:  Chris
Email:  echocardman@yahoo.com
Interpretation:  ruptured chord

Nickname:  Kat
Email:  Kswhite33414@gmail.com
Interpretation:  Flail mv leaflet

Nickname:  sue
Email:  smwood842@gmail.com
Interpretation:  Ruptured Chord

Nickname:  Sani
Email:  sweetswati26@yahoo.com
Interpretation:  I would say rupture chordae.

Nickname:  mahesh
Email:  mk.choudhary@yahoo.co.in
Interpretation:  mv infective endocarditis;tight MS moderate MR

Nickname:  fitchick
Email:  clutz@clarionhospital.org
Interpretation:  this most likely represents a patient with a history of rhematic fever resulting in aortic and mitral stenosis, therefore, the mobile strand seen is most likely a broken chord, with probable endocarditis as a cause given the underlying valvular disease

Nickname:  mosey
Interpretation:  mitral stenosis

Nickname:  Nilesh
Email:  banthianilesh76@yahoo.co.in
Interpretation:  Myxomatous mitral valve with ruptured chordae , dilated LA sec to MR, thickened Aortic valve leaflets , MVP

Nickname:  MILOI
Email:  orioljac@yahoo.es
Interpretation:  me da la impresión de que ambas valvas tienen vegetación y rotura de la cuerda de la valva posterior

Nickname:  MILOI
Email:  orioljac@yahoo.es
Interpretation:  Podria indicarse que se observan dilatacion de las cavidades , con engrosamiento y poca apertura de la valvula aortica, la direccion del yet es central induciendonos a una cardiopatia cronica de tipo reumatico, predisponiendo a formacion de vegetaciones y complicada con rotura de cuerda

Nickname:  RAHEEM
Email:  RAHEEMJONES82@YAHOO.COM
Interpretation:  MODERATE TO SEVERE MITRAL REGURG SECONDARY TO RUPTURED CORDEA OF THE POSTERIOR MITRAL LEAFLET.MILD DIALTION OF LV & LA.

Nickname:  139.190.3.224
Email:  hashim_barech@yahoo.com
Interpretation:  vegetation on posterior mitral leaflet with severe MR

Nickname:  new tech
Email:  evangecol@yahoo.com
Interpretation:  ruptured chordae tendineae

Nickname:  Zorza
Email:  elzbietamw@yahoo.com
Interpretation:  moving vegetation /thrombus MVReplacement LAD

Nickname:  Zorza
Email:  elzbietamw@yahoo.com
Interpretation:  + AVS,LVDilat

Nickname:  josevaldes
Email:  angelvaldes64@prodigy.net.mx
Interpretation:  a vegetation

Nickname:  Bee
Email:  Cardiac1313@gmail.com
Interpretation:  Based on the thickening of both valves, the color flow jet and the motion of the echo density, this appears to be a torn chordae.

Nickname:  TrayB
Email:  traceyebright0811@gmail.com
Interpretation:  ruptured chordae

Nickname:  CocoBean
Interpretation:  As a student I would say a ruptured chord with vegetation.

Nickname:  rem
Interpretation:  Posterior MV Vegetation, Ruptured chordae or Posterior papillary muscle ruptured.

Nickname:  usha
Email:  gunasdev@gmail.com
Interpretation:  Ruptured chordae.

Nickname:  charon
Email:  charonv68@yahoo.com
Interpretation:  ruptured chordae

Nickname:  carrie
Interpretation:  Ruptred chordea

Nickname:  jeevan L suthar
Email:  jeevansuthar129@gmail.com
Interpretation:  cordal rupture

Nickname:  LLUechostudent2016
Interpretation:  I believe this to be a rupture chord. I believe a vegetation would have embolied before reaching this large of a length. And the motion of the mitral valve along with the MR suggests ruptured Chord. In my opinion

Nickname:  SRK
Email:  drshahrukhhashmani@gmail.com
Interpretation:  ruptured chordae and posterior papillary muscle, thicked anterior mitral leaflet with ecentric MR

Nickname:  DONR
Email:  donrogers760@gailmail.com
Interpretation:  Endocarditis ruptured mitral chordae.

Nickname:  Andrewcaran
Email:  Andrewcaran@yahoo.com
Interpretation:  It appears to be a ruptured chordae tendinae.

Nickname:  echonerd
Email:  mczavodsky@hvc.rr.com
Interpretation:  Possibly metastatic disease or multiple vegetations. Are there positive blood cultures? Has the patient been diagnosed with any type of cancer of the lymph system?

Nickname:  MAYYADAH
Email:  abulhubbmayada014@gmail.com
Interpretation:  Diagnosis is Infective Endocarditis LA dilated, LV dilated, normal LVF, an elongated highly mobile mass attached to the atrial surface of the PMVL, a vegetation with moderate MR

Nickname:  Carol
Email:  sabower@bright.net
Interpretation:  torn chord

Nickname:  Joyce
Email:  joycewilliams14454@att.net
Interpretation:  Endocarditis

Nickname:  Al
Email:  lmgcancino@hotmail.com
Interpretation:  Vegetation, rupture chord. Prolapse

Nickname:  
Interpretation:  

Nickname:  td
Interpretation:  ruptured chord with the posterior mvl and chord moving into the la.

Nickname:  jerry
Email:  gerardschacht@aol.com
Interpretation:  ruptured chordea

Nickname:  arij
Email:  mie.salman@yahoo.com
Interpretation:  mass on the atrial surface of anterior MV leaflet for DD VEGETATION ruptured papillary muscle moderate jet of MR

Nickname:  YD
Email:  yvette2000eg@gmail.com
Interpretation:  MV leaflets appears thickened and myxomatos. which may suggest vegetation but I would think it's more a rupture pap muscle/chordae causing the posterior MV leaflet to be flail. Since anterior MR leaflet appears mildly prolapsing, The MR jet is directed more posteriorly. TEE would help more

Nickname:  tdscott
Email:  tawannascott@verizon.net
Interpretation:  I vote is for ruptured cord.

Nickname:  amal. abdo
Interpretation:  Ruptured cord. Of. Post.mit. Leflet. &Flail. Post. Mit.leflet. Veg. On. Ant. Mit. Valve. Leflet..did.lt.at.&thrombus. Ant.

Nickname:  Cookie
Email:  Khstark65@msn.com
Interpretation:  Flail mitral valve/ myxotomus vale increase LA mod MR

Nickname:  Shahnaz
Email:  ali_chagani@hotmail.com
Interpretation:  Mitral Valve prolapse ,Systolic Dysfunction

Nickname:  Al
Email:  lmgcancino@hotmail.com
Interpretation:  I think it is ruptured chordae PWMVL

Nickname:  DKing
Email:  darthur79@gmail.com
Interpretation:  flial posterior mitral valve leaflet probably caused by rupture chordae tendineae resulting in MVP which is indicative of MR EF appears to be within the range of 40-50%. Hypo-kinetic left ventricle with a-kinetic left ventricular apex. Central moderate to sever MR which is indicative of moderately dilated LA. Velocities calculated may be underestimated due to lower than normal cardiac output.

Nickname:  Amresh Gul
Email:  dr_amreshgul@yahoo.com
Interpretation:  MR/prolapse due to ischemia and also ischemic dilated cardiomyopathy. need to measure PHT, CW to see severity. also I think there is hypokinesia

Nickname:  Echodawg
Interpretation:  Vegetation. Looks like it's attached on the flow side of valve

Nickname:  Sindibad
Email:  thameraljawahiri70@gmail.com
Interpretation:  Infective Endocarditis with vegetation on the posterior leaftlet of mitral valve

Nickname:  PG
Email:  gurupagala@yahoo.com
Interpretation:  ruptured Chorde

Nickname:  2ndsight
Email:  2ndsight007@gmail.com
Interpretation:  Flail PML ruptured chordea

Nickname:  joe
Interpretation:  ruptured chordae

Nickname:  Mohammed almashhadany
Email:  Drmohammedalmashhadany@gmail.com
Interpretation:  Mitral regurg. Due to long chordae

Nickname:  joe test
Interpretation:  ertet

Nickname:  jyras
Email:  jyras88@gmail.com
Interpretation:  vegetation

Nickname:  Dennis
Email:  dtsipas@yahoo.com
Interpretation:  Likely to be a ruptured chord

Nickname:  cottontale7
Email:  cottontale7@gmail.com
Interpretation:  I think this is a string thrombi

Nickname:  echojules
Email:  jspears@covhs.org
Interpretation:  Ruptured chordae tendineae.

Nickname:  suba buba
Email:  email@gmail.com
Interpretation:  1PR85x Wow, that as what I was seeking for, what a material! existing here at this website, thanks admin of this website.

Nickname:  Syed Hussain
Email:  tahoor_98@hotmail.com
Interpretation:  Severe prolapse of the posterior mitral leaflet with chordal rupture large coaptation defect and severe mitral regurgitation, left atrium dilat

Nickname:  Al
Email:  lmgcancino@hotmail.com
Interpretation:  Papillary fribroeslaþoma

Nickname:  Dr.Samir Hamdy
Email:  samirhamdy@hotmail.com
Interpretation:  rupture chorda tendinae

Nickname:  mvrblanco
Email:  mvrblanco@aol.com
Interpretation:  Appears to be a ruptured chardae






 
   
 





   

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