 Left VentricleThe left ventricle is normal in size. The overall LV ejection fraction is 56%, the LV end diastolic volume index is 92 ml/m2 (normal range: 65+/-11), the LVEDV is 142 ml (normal range 109+/-23), the LV end systolic volume index is 42 ml/m2 (normal range 18+/-5), the LVESV is 62 ml (normal range 31+/-10). There are no regional wall motion abnormalities present. . There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is enlargedRight VentricleThe right ventricle is normal. The overall RV ejection fraction is 59%, the RV end diastolic volume index is 66 ml/m2 (normal range 69+/-14), the RVEDV is 113 ml (normal range 110+/-24), the RV end systolic volume index is 31 ml/m2 (normal range 22+/-8), and the RVESV is 76 ml (normal range 35+/-13). Right AtriumThe right atrium is enlarged. Aortic ValveThere is a bi-leaflet mechanical prosthesis which appears well-seated. Ao Qflow analysis reveals a RF of 4-6%.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation, but the severity of mitral regurgitation can be underestimated by the MRI pulse sequence used in this study.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation, but the severity of pulmonic regurgitation can be underestimated by the MRI pulse sequence used in this study.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation, but the severity of tricuspid regurgitation can be underestimated by the MRI pulse sequence used in this study.AortaThere is evidence of a prosthetic ascending aortic graft. There is a left sided aortic arch with a normal brachiocephalic branching pattern.AO measurementsGraft 29mmAsc Ao above graft 30x32 mmMid Ao arch 29x32 mmDesc 19x19 mmPulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size. Venous AnatomyThe SVC and IVC drain normally into the right atrium. PericardiumThere is no obvious pericardial disease.Extracardiac FindingsPost sternotomy. This study is not designed for the specific evaluation of extra-cardiac findings; therefore, the differentiation between artifacts and real extracardiac pathology may be difficult. If clinically indicated, a separate dedicated evaluation should be considered.
1. Lower normal LV systolic function2. Normal RV3. Mechanical bioprosthetic AV without evidence for significant AR4. Prosthetic ascending aortic graft with aortic measurements as above.Unchanged from 2013.