What is the diagnosis for a patient with normal aortic, mitral, and tricuspid valve structures, trivial mitral and tricuspid regurgitation, and no stenosis, with peak velocities of 1.7 m/s in the aortic valve, 1.2 m/s in the mitral valve, and 1.2 m/s in the tricuspid valve?

From the Guidelines

The patient's echocardiogram results indicate normal cardiac valve function, with no evidence of significant valvular heart disease requiring intervention, as supported by the 2014 AHA/ACC guideline for the management of patients with valvular heart disease 1. The aortic valve has a normal structure with a peak velocity of 1.7 m/s, which is below the threshold for mild aortic stenosis (Aortic Vmax 2.0–2.9 m/s) as defined in the guideline 1. The peak gradient of 11 mmHg and mean gradient of 5 mmHg are also within normal limits, and the valve area of 2.4 cm² is above the threshold for severe aortic stenosis (AVA typically ≤1.0 cm2) 1.

• Key findings for the aortic valve include:
  • Normal structure
  • Peak velocity: 1.7 m/s
  • Peak gradient: 11 mmHg
  • Mean gradient: 5 mmHg
  • Valve area: 2.4 cm²
• The mitral valve appears structurally normal with a peak velocity of 1.2 m/s, peak gradient of 6 mmHg, mean gradient of 2 mmHg, and valve area of 3.6 cm², all of which are within normal limits 1.
• Trivial mitral regurgitation is noted, which is clinically insignificant and does not require treatment or follow-up unless symptoms develop or changes occur on future imaging.
• The tricuspid valve shows normal structure with trivial regurgitation, and the inferior vena cava (IVC) caliber, right atrial pressure, and tricuspid regurgitation velocity all suggest normal right heart pressures. Based on these findings and the guideline, no intervention is required for the patient's valvular heart disease, and routine follow-up is recommended to monitor for any changes in valve function 1.