Male 4 years old Reason: assess aortic valve stenosis Left VentricleThe left ventricle is normal in size. The overall LV ejection fraction is 69.4%, the LV end diastolic volume index is 79.62 ml/m2 (normal range: 74+/-15), the LVEDV is 55.74 ml (normal range 142+/-34), the LV end systolic volume index is 24.32 ml/m2 (normal range 25+/-9), the LVESV is 17.03 ml (normal range 47+/-19), the LV mass index is 41.2 g/m2 (normal range 85+/-15), and the LV mass is 28.84 g (normal range 164+/-36). 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 normal in size. Right VentricleThe right ventricle is normal in size. The overall RV ejection fraction is 50.1%, the RV end diastolic volume index is 62.3 ml/m2 (normal range 82+/-16), the RVEDV is 43.63 ml (normal range 142+/-31), the RV end systolic volume index is 31.11 ml/m2 (normal range 31+/-9), and the RVESV is 21.78 ml (normal range 54+/-17). Right AtriumThe right atrium is normal in size. Aortic ValveThe aortic valve is trileaflet. Possible partial fusion (multiple valvuloplasties) There there is systolic and diastolic dephasing of the aortic valve suggesting aortic stenosis and aortic regurgitation. The maximal surface area of the aortic valve in systole is 1.14 cm2. The index valve area is: 1.62 cm2.AORTIC VALVE QUANTITATION: Stroke volume in ml: 37Forward flow volume in ml: 43.9Backward flow volume in ml: 6.9Regurgitant factor in %: 15.6Peak velocity in ml/sec.: 200 Mitral ValveThe mitral valve opens widely. There is no significant mitral regurgitation. Dedicated through plane imaging of the mitral valve was not performed.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation visualized. Dedicated through plane imaging of the pulmonic valve was not performed.PULMONARY VALVE QUANTITATION:Stroke volume in ml: 32.1Forward flow volume in ml: 32.5Backward flow volume in ml: 0.4Regurgitant factor in %: 1.2Peak velocity in ml/sec.: 160Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation visualized. Dedicated through plane imaging of the tricuspid valve was not performed.AortaThe ascending aorta is mildly dilated with minimal . Sinotubular junction narrowing is noted as well. There is a left sided aortic arch.The coronary sinus diameter is 17.4 mm and the sinotubular junction measures 11.2 mm. A sending aorta diameter is 13.8 mm. The aortic arch is 14 mm in diameter. Descending aorta diameter is 10.8 mm.Pulmonary ArteryThe main pulmonary artery is normal in size. Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no pericardial thickening or effusion.Extracardiac Findings
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