Non Invasive Cardiovascular Lab. Unit
2DTTE Echocardiography Report
Patient's Name
Date: 23/05/2021
Referred by
Clinical Diagnosis
Mr Abdelrauf Kamel Mohamed
Age: 82 y
Weight: 87 Kg
CCU
DHF , S/P CABG
Height: 172 cm
Measurements
Parameter
LVED (cm)
LVES (cm)
SWT (cm)
PWT (cm)
LVEF (%)
Value
5.0
4.0
1.3
1.3
35-40
Normal
4.2-5.9
< 4.0
0.6-1.1
0.6-1.1
> 55
Parameter
RV, basal (cm)
TAPSE (cm)
LA (cm)
LA vol. (ml3)
Ao. root (cm)
Value
5.0
1.3
4.8
--3.6
Normal
<4.2
>1.6
3.0-4.0
< 34
2.0-4.0
Parameter
E (cm/s)
E/A
Lat. e'
Sep. e'
E/e'
Value
Parameter
LVOT (cm)
SV Index
TR Velocity
PASP (mmHg)
IVC (cm)
Value
1.9
53
1.6
Comment
Cardiac Chambers:
 Mildely dilated LV internal systolic dimension, mild increased wall thickness with moderately
impaired systolic function.
 Mild to moderate global hypokinesia specially infero-posterior wall , abnormal septal motion ,
Akinetic mid segment right ventricular free wall .
 Dilated linear anteroposterior LA dimensions.
 Dilated right atrium and right ventricle with impaired RV contractility.
 Intact interatrial and interventricular septae.
Cardiac valves:
 Mitral Valve: Calcific mitral valve leaflet with grade II/IV MR .
 Aortic Valve: Tri-sinus, Bicommisural, Bicuspid valve, thickened and heavily calcified
leaflet tip/body, estimated peak/mean PG= 17/9 mmHg, peak velocity= 2.07 m/s and AVA
by continuity equation= 1.5 cm² and indexed AVA = 0.75 cm² /m² (Moderate AS ). There is
moderate regurgitation ,
>> Estimated aortic valve annulus diameter = 2.6 cm
 Normal TV morphology and trivial regurgitation.
 Normal PV morphology with normal flow and trivial regurgitation.
Intracardiac masses:
 No visible intracardiac masses or thrombi by TTE.
Greet vessels:
 Aortic root dimensions >> * Sinus of Valsalva= 3.8 cm
* Ascending aorta= 4.4 cm
 Normal main pulmonary artery and its branches.
 Normal pulmonary venous drainage.
 Normal IVC and inspiratory collapse.
* Sino-tubular junction= 4.3 cm
Pericardium:
 Normal thickness with no effusion.
Conclusion:




Senile valvular heart disease , IHD with moderately impaired LVEF >>
Moderate AS , Moderate AR , grade II/IV MR , Dilated LA .
Severe TR with moderate pulmonary hypertension .
Mildely dilated ascending aorta .
Dr. Sherif Sharaf , MSc Cardiology
Non Invasive Cardiovascular Lab. Unit