Assessment of Mitral Valve Complex by Three-Dimensional Echocardiography: Therapeutic Strategy for Functional Mitral Regurgitation.
- Author:
Kiyoshi YOSHIDA
1
;
Kikuko OBASE
Author Information
- Publication Type:Review
- Keywords: Mitral valve complex; 3D echocardiography; Functional mitral regurgitation
- MeSH: Chordae Tendineae; Decision Making; Dilatation; Echocardiography, Three-Dimensional; Heart Ventricles; Mitral Valve; Mitral Valve Insufficiency; Papillary Muscles; Ventricular Remodeling
- From:Journal of Cardiovascular Ultrasound 2012;20(2):69-76
- CountryRepublic of Korea
- Language:English
- Abstract: The mitral valve complex is consisted of annulus, leaflets, chordae tendineae, papillary muscle (PMs) and surrounding left ventricle. Functional mitral regurgitation (MR) results from left ventricular remodeling such as dilatation or distortion, which displaces the PMs and then tethers the mitral leaflets, restricting leaflet coaptation. Undersized annuloplasty, which has been widely accepted as a simple and effective procedure for functional MR, sometimes worsens the tethering of posterior leaflet and induces recurrent MR. In order to overcome such problems, several additional procedures to the simple annuloplasty have been produced. Three dimensional echocardiography plays an essential role to understand the geometry of mitral valve complex and contributes greatly to decision making of the surgical strategy in functional MR and its postoperative assessment.
