Effective regurgitant orifice is the common suggested method to assess mitral regurgitation severity. But in real world, is not uncommon to find several mitral regurgitant jets. There are scanty references in the literature about this situation. How do you proceed in this cases?
If the orifices are far enough away from each other you can calculate them separately and add them up.
Thank you for the information you have provided. Do you have any reference to support it? I would be gratefully indebted.
It is not in line of my work but I feel interested. Is this relevant in application of clips?
Vena contracta measurement will give to an idea about the two jets .PISA won't be a reliable in such cases..
I assume you're talking about images on echocardiogram, and possibly Doppler images. I suggest you study the many errors and assumptions in interpretation of such images (much "pseudo-science".) Any treatment decisions on this case would be better served on good clinical grounds--including function studies if needed. Sorry, no help to your question.
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