Echocardiographic determination of the prevalence of primary cardiac valve myxomatous degeneration
10.3760/cma.j.issn.1004-4477.2010.08.006
- VernacularTitle:原发性心脏瓣膜黏液样变性的超声特点
- Author:
Jian CHEN
;
Yihua HE
;
Zhian LI
;
Jiancheng HAN
;
Xiaoyan GU
;
Linlin WANG
- Publication Type:Journal Article
- Keywords:
Echocardiography;
Heart valve diseases;
Myxomatous degeneration
- From:Chinese Journal of Ultrasonography
2010;19(8):659-661
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the capability of echocardiography to identify primary cardiac valve myxomatous degeneration (PCVMD) compared to pathological findings and to determine the echo features of PCVMD. Methods Echocardiograms were retrospectively compared with pathological findings of 1080 patients who underwent surgery for moderate or severe valve regurgitation. PCVMD of the mitral,aortic and tricuspid valves was retrospectively identified, with a comparison of the echocardiography and pathology findings,to calculate the prevalence of PCVMD,and to summarize its echocardiography features.Results A total of 104 patients were diagnosed with PCVMD (prevalence of 9. 62%) with 117 lesions.Valvular regurgitation were confirmed by echocardiography in all patients( 100 % ). Valve morphology change including valve prolapsed, valve thickening and redundancy were confirmed by echocardiography in 101 lesions(86.3 % ), but suggestive diagnosis were done by echocardiography in only two patients. Conclusions In patients undergoing surgery for valvular regurgitation,a high prevalence of PCVMD was found. PCVMD had distinctive echocardiographic features,suggesting its preoperative diagnosis.
