title: [Changes in the physiologic pattern of mitral prosthesis regurgitation in the presence of a prosthetic dysfunction].
abstract: OBJECTIVE
  Evaluation by transesophageal echocardiography of the effect on the characteristics of physiological regurgitant jets (JF) resulting from prosthetic disfunction due to pathologic regurgitation (JF).
  
  
  METHODS
  We studied 69 consecutive patients with the diagnosis of prosthesis in mitral position using transesophageal echocardiography and color doppler codification. The patients were divided in two groups (N and D groups) according to the presence of prosthesis disfunction by pathologic regurgitation. In each patient we determined planimetric areas and atrial peak depth of each JF and also the sum of JF planimetric areas of each mitral prosthesis. When pathological regurgitation was present we calculated the highest planimetric area, severity degree and atrial peak depth in each JP.
  
  
  RESULTS
  The planimetric area in each JF of group N was 330 +/- 167 mm2 and in group D 117 +/- 116 mm2 (p less than 0.001). The sum of the areas of JF in group N was 474 +/- 204 mm2 and in group D 254 +/- 176 mm2 (p less than 0.01). The atrial depth of JF in group was 32 +/- 15 mm and in group D 26 +/- 18 mm (p less than 0.01). In group D 29% of the patients had mild pathological regurgitation, 10% moderate and 61% severe. The maximum planimetric area of JP in group D was 1078 +/- 1007 mm2 with atrial depth of 37 +/- 28 mm.
  
  
  CONCLUSIONS
  The pathological regurgitation in disfunction prosthesis in mitral position has a significant reduction effect in the dimension of prosthesis physiologic regurgitation jets. This transesophageal echocardiographic observation makes it possible to characterize and clarify more precisely the different types of mitral prosthesis jets.
authors.affiliation: Serviço de Cardiologia, Hospital Egas Moniz, Lisboa.
authors.forename: J E
authors.initials: JE
authors.lastname: Azevedo
authors.forename: M A
authors.initials: MA
authors.lastname: Fernandez
authors.forename: D
authors.initials: D
authors.lastname: San Roman
authors.forename: E
authors.initials: E
authors.lastname: Torrecilla
authors.forename: R
authors.initials: R
authors.lastname: Esturau
authors.forename: J
authors.initials: J
authors.lastname: Hernandez
authors.forename: T
authors.initials: T
authors.lastname: Echeverria
authors.forename: A
authors.initials: A
authors.lastname: Burgueno
authors.forename: J L
authors.initials: JL
authors.lastname: Delcan
mesh_terms: D000328:Adult; D000368:Aged; D015150:Echocardiography, Doppler; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000503:physiopathology*; D011446:Prospective Studies; D011475:Prosthesis Failure
vernacular_title: Alteração do padrão fisiológico de regurgitação protésica mitral em presença de disfunção.