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Transthoracic echocardiography displayed a normal left ventricular ejection fraction, no signs of diastolic left ventricular dysfunction, dilated left and right atria, slight mitral and tricuspid valve regurgitation and a hypertrophic right ventricle, and there was no inspiratory collapse of the enlarged inferior vena cava.
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A 2D, color and spectral Doppler echocardiogram indicated mild non-coaptation of the mitral leaflets associated with slight apically displacement in systole, normal valve thickness and excursion resulting in mild mitral regurgitation.
The Mitral valve may have developed a slight fold which causes the valve to not fully close.
A mild systolic murmur was found in one referee (2%) with mild central aortic regurgitation with a tricuspid aortic valve with slight asymmetry of the cusps, in one (2%) with mild-to-moderate mitral regurgitation due to discrete myxoid changes without mitral valve prolaps and in one (2%) with a small ventricular septum defect (VSD).
(a) hypercontractile left ventricle with slight mosaic flow signals in the left ventricular outflow tract and posteriorly directed slight jet of mitral regurgitation (MR) were noted on color-flow Doppler mapping.
On April 24, a control TEE showed a slight decrease of the size of the aortic valve vegetation and a new vegetation on the mitral valve.
Bedside transthoracic echocardiography (TTE) revealed a hypercontractile left ventricle, no right ventricular dilatation, and no segmental wall motion abnormalities; however, slight mosaic flow signals in the left ventricular outflow tract (LVOT) and a posteriorly directed slight jet of mitral regurgitation (MR) were noted on color-flow Doppler mapping (CFD).
One (1) of them was a clinically insignificant tricuspid valve leakage, one (1) a very mild mitral valve leakage, one (1) a bicuspic aortic valve without stenosis and one (1) a bicuspic aortic valve with slight stenosis (pressure gradient 16 mmHg).
Slight problem.
A slight?
Slight chance of rain.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com