MCQ : Echo-16
33 year old with right heart failure.
Prior MVR (bileaflet mechanical), and TVR, CE bioprosthetic valve.
Which is the best interpretation of these images?
A) Pseudo Prosthetic AV Stenosis
B) Pseudo Prosthetic MV Stenosis
C) Pseudo Prosthetic TV Stenosis
D) Severe TV and MV stenosis
Right answer is: C) – Pseudo Prosthetic TV Stenosis
• Large vegetation obstructing flow through tricuspid valve
• Normal LV and RV systolic function
• Normal MV prosthetic function with mean gradient of 7 mmHg
• Severe TV stenosis with mean gradient of 14 mmHg
