Basic Valve Assessment

Assess the valve itself

Assess surrounding chamber size

Assess for valve regurgitation

Look for:

Flail leaflets
Restricted motion + stenosis
How the valve coapts together
Thickening + abnormal vegetations

Assess for valve regurgitation

Assess surrounding chamber size

Assess for valve regurgitation

Look for:

Using color doppler and assess for significant regurgitation across the valve as this can affect other measurements (ie stenosis, VTI).

Assess surrounding chamber size

Assess surrounding chamber size

Assess surrounding chamber size

Look for:

RV/RA dilation (ie when assessing TR or TAPSE)
LA/LV dilation (ie when assessing for MR, AR).