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Updated: Apr 1, 2026

Protocol for Relative Hydrodynamic Assessment of Tri-leaflet Polymer Valves
Published on: October 17, 2013
Which valve is which?
Pravin Saxena1, Anil Bhan, Rajesh Kumar Sharma
1Department of Anaesthesiology and Institute of Critical Care, Medanta . The Medicity, Gurgaon, Haryana, India.
Abstract:
A 25-year-old man presented with a history of breathlessness for the past 2 years. He had a history of operation for Tetralogy of Fallot at the age of 5 years and history suggestive of Rheumatic fever at the age of 7 years. On echocardiographic examination, all his heart valves were severely regurgitating. Morphologically, all the valves were irreparable. The ejection fraction was 35%. He underwent quadruple valve replacement. The aortic and mitral valves were replaced by metallic valve and the tricuspid and pulmonary by tissue valve.
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