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心脏彩超(中英作品展示)

心脏彩超

超声所见:

主动脉瓣环:15mm;主动脉窦部:23mm;升主动脉内径:21mm

左房前后径:23mm;右室前后径:17mm;

室间隔:厚度10mm、搏幅7mm;左室后壁:厚度9mm、搏幅8mm

左室舒张末期前后径:40mm;左室收缩末期前后径:23mm;

右室流出道:20mm;主肺动脉内径:16mm;右房横径:25mm;

血流速度:二尖瓣:E峰:130cm/s、A峰:86cm/s;三尖瓣:78cm/s;主动脉瓣:140cm/s;肺动脉瓣:112cm/s

左室收缩功能指标:EDV:69ml、ESV:19ml、SV:50ml、CO:4.2L/min、CI:3.3L/(min.㎡)、EF73%、FS41%.

左室舒张功能指标:E/A=1.5、Em/Am>1/、E/Em =13、Em=10、DT:152ms、PV-Ar:21cm/s

肺动脉压力测定:收缩压:25mmHg;

 

 

Echocardiography

Findings:

Aortic valve annulus: 15mm. Aortic sinus: 23mm. Ascending aortic diameter: 21mm.

Left atrial anteroposterior diameter: 23mm. Right ventricular anteroposterior diameter: 17mm.

Interventricular septum: 10mm of thickness, 7mm of amplitude. Left ventricular posterior wall: 9mm of thickness, 8mm of amplitude.

Left ventricular end-diastolic diameter: 40mm. Left ventricular end-systolic diameter: 23mm.

Right ventricular outflow tract: 20mm. Main pulmonary arterial diameter: 16mm. Right atrial transverse diameter: 25mm.

Blood flow velocity: mitral valve: E peak: 130cm/s, A peak: 86cm/s; tricuspid valve: 78cm/s; aortic valve: 140cm/s; pulmonary valve: 112cm/s.

Left ventricular systolic function: EDV 69ml, ESV 19ml, SV 50ml, CO 4.2L/min, CI 3.3L/(min.m2), EF 73%, FS 41%.

Left ventricular diastolic function: E/A=1.5, Em/Am>1, E/Em =13, Em=10, DT 152ms, PV-Ar 21cm/s.

Pulmonary arterial pressure: systolic pressure 25mmHg.

 

二维及M型检查:

各房室腔内径正常范围。室间隔及左室壁略增厚,运动协调,收缩幅度正常。房、室间隔未探及确切回声脱失。各瓣膜形态、结构、启闭运动未见异常。主动脉弓内径17mm,降主动脉近起始部管腔变窄,最窄处5.5mm,范围约9.6mm,狭窄远端内径20mm,大动脉连接关系正常。心包腔未见异常。

多普勒检查:

降主动脉狭窄处花色血流,峰值流速381cm/s,压差58mmHg;

三尖瓣收缩期探及少量反流信号;

主动脉瓣舒张期探及少量反流信号。

 

 

2D and M-mode Ultrasound:

The atria and ventricles showed normal inner diameter. Slight thickness of interventricular septum and left ventricular wall, with coordinated motion and normal contraction amplitude. No definite echoless area of interatrial septum or interventricular septum. No abnormality of the morphology, structure, opening and closing of the valves. The aortic arch was 17mm in diameter. Stenosis of the initial segment of descending aorta, 9.6mm in range, the narrowest site measuring 5.5mm in diameter. The distal end of the stenosis was 20mm in diameter. The main arterial connection was normal. No abnormality within the pericardial cavity.

Color Doppler Ultrasound:

Color blood flow in the stenotic region of descending aorta, with peak velocity 381cm/s and pressure difference 58mmHg.

A small amount of tricuspid valve regurgitation at systolic phase.

A small amount of aortic valve regurgitation at diastolic phase.