Learn more at: cryolife.com/products/on-x-heart-valves/echocardiography/ On-X Heart Valves Echocardiography Presentation

1. On-X Echocardiography Presentation

2. • On-X mitral valve
• Transthoracic echo (TTE)
• Parasternal long-axis view
• There is normal leaflet
motion of the implanted
mitral valve.
• The cusps of the native
aortic valve are thickened
and restricted.
MLENG1166.000 (01/2018)

3. • On-X mitral valve
• Transesophageal echo (TEE)
• Mid-esophageal 4 chamber
view
• Shows normal leaflet motion
MLENG1166.000 (01/2018)

4. • On-X mitral valve
• Transesophageal echo
(TEE)
• Simultaneous imaging and
color Doppler
• Mid-esophageal long-axis
view
• Low velocity washing jets
• There are two small pivotal
washing jets and a small jet
around the leaflet edge (to
the left)
MLENG1166.000 (01/2018)

5. • On-X mitral valve
• Transesophageal echo (TEE)
• Mid-esophageal 2-chamber
view
• Simultaneous imaging and
color Doppler
• 3 red low velocity pivotal
washing jets 2-3 cm long
• Systole (valve is closed)
MLENG1166.000 (01/2018)

6. • On-X mitral valve
• Transesophageal echo (TEE)
• Mid-esophageal long-axis view
in systole
• Simultaneous imaging and
color Doppler
• Normal pivotal washing jets
MLENG1166.000 (01/2018)

7. • On-X mitral valve
• Transesophageal echo (TEE)
• Simultaneous imaging and
color Doppler
• Mid-esophageal long-axis
view
• Low velocity washing jets
MLENG1166.000 (01/2018)

8. • On-X mitral valve
• Transesophageal echo (TEE)
• Simultaneous imaging and
color Doppler
• Mid-esophageal 4-chamber
view
• 4 low velocity washing jets
• There are two pivotal washing
jets and a small jet around the
leaflet to the left
MLENG1166.000 (01/2018)

9. • On-X double valves
• Transesophageal echo (TEE)
• Color Doppler
• Mid-esophageal 4 chamber
view
• Only mitral valve evident;
normal forward flow and pivot
washing jets, two laterally and
one medially
MLENG1166.000 (01/2018)

10. • On-X mitral valve
• Transesophageal (TEE)
intraoperative
• Color Doppler
• 2 chamber view
• Paraprosthetic leak
MLENG1166.000 (01/2018)

11. • On-X mitral valve
• Transesophageal echo (TEE)
intraoperative
• Color Doppler
• 2 chamber view
• Systole (valve closed)
• Paraprosthetic leak
MLENG1166.000 (01/2018)

12. • On-X mitral valve
• Transesophageal echo (TEE)
• Mid-esophageal long-axis
view in diastole
MLENG1166.000 (01/2018)

13. • On-X mitral valve
• Transesophageal echo (TEE)
• Color Doppler
• Mid-esophageal 2-chamber
view
• Normal pivotal washing jets
• The two jets on the left are
easily visible. The origin of the
jet on the right is also easily
seen
• Systole (valve is closed)
MLENG1166.000 (01/2018)

14. • On-X mitral valve
• Transesophageal echo (TEE)
• Mid-esophageal 2-chamber
view
• Simultaneous imaging and
color Doppler
• Low velocity regurgitant jets
• Tilted to image leaflet edge to
show a jet around the leaflet
(on the left) as well as pivotal
washing jets (on the right)
MLENG1166.000 (01/2018)
Note: There is a prominent left atrial appendage to the right

15. • On-X aortic valve
• Transthoracic echo (TTE)
• Pulsed Doppler
• Outflow tract (subaortic)
• Taken for area measurement
EOA = 2.2 cm2
MLENG1166.000 (01/2018)

16. • On-X aortic valve
• Transthoracic echo (TTE)
• Apical 5 chamber view
• Three low velocity
regurgitant washing jets, 2 to
the left and one on the right
MLENG1166.000 (01/2018)

17. • On-X aortic valve
• Transthoracic echo (TTE)
• Simultaneous imaging and
color Doppler
• Parasternal long-axis view
• Low velocity regurgitant jets
• Upper pivotal point jet in blue,
lower in red
MLENG1166.000 (01/2018)

18. • On-X aortic valve
• Transthoracic echo (TTE)
• Parasternal short-axis view
• Color Doppler
• Low velocity regurgitant jets
• Blue jets are from upper pivot
and red from lower
MLENG1166.000 (01/2018)