Mitral valve annuloplasty and papillary muscle relocation oriented by 3-dimensional transesophageal echocardiography for severe functional mitral regurgitation

Fattouch, Khalil; Murana, Giacomo; Castrovinci, Sebastiano; Mossuto, Claudia; Sampognaro, Roberta; Borruso, Maria Giuliana; Bertolino, Emanuela Clara; Caccamo, Giuseppa; Ruvolo, Giovanni; Lancellotti, Patrizio

doi:10.1016/j.jtcvs.2012.01.010

Cited by 24 publications

(13 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…17 The group of Dion et al 15 stressed that sufficient coaptation reserve might prevent recurrent MR, although this therapeutic approach does not directly address tethering by the remodeled LV. 18,19 It has been well know that recurrent MR depends not only from failure in surgical techniques and patients selection but also from ongoing LV remodeling in the setting of ischemic mitral diseases. However, in our series, there were no differences in recurrent MR between the 2 groups.…”

Section: Mitral Valve Repair and Recurrent Mrmentioning

confidence: 99%

A Comparison of 2 Mitral Annuloplasty Rings for Severe Ischemic Mitral Regurgitation: Clinical and Echocardiographic Outcomes

Fattouch

Moscarelli

Castrovinci

et al. 2016

Seminars in Thoracic and Cardiovascular Surgery

Self Cite

View full text Add to dashboard Cite

Section: Mitral Valve Repair and Recurrent Mrmentioning

confidence: 99%

A Comparison of 2 Mitral Annuloplasty Rings for Severe Ischemic Mitral Regurgitation: Clinical and Echocardiographic Outcomes

Fattouch

Moscarelli

Castrovinci

et al. 2016

Seminars in Thoracic and Cardiovascular Surgery

Self Cite

View full text Add to dashboard Cite

“…19 Secondary MR results from the geometrical distortion of the subval vular apparatus, which occurs secondary to LV enlarge ment and impaired contractility. 3,4,20,21 Secondary MR is a disease of the ventricles rather than of the valves per se, and is classified as type IIIb in Carpentier's surgical clas sification of mitral valve pathology. 11,22 The incidence and clinical importance of secondary MR is largely underestimated, in part owing to the insensitive nature of the physical examination.…”

Section: Factors That Influence Mrmentioning

confidence: 99%

Therapeutic decision-making for patients with fluctuating mitral regurgitation

2015

Self Cite

View full text Add to dashboard Cite

| Mitral regurgitation (MR) is a common, progressive, and difficult-to-manage disease. MR is dynamic in nature, with physiological fluctuations occurring in response to various stimuli such as exercise and ischaemia, which can precipitate the development of symptoms and subsequent cardiac events. In both chronic primary and secondary MR, the dynamic behaviour of MR can be reliably examined during stress echocardiography. Dynamic fluctuation of MR can also have prognostic value; patients with a marked increase in regurgitant volume or who exhibit increased systolic pulmonary artery pressure during exercise have lower symptom-free survival than those who do not experience significant changes in MR and systolic pulmonary artery pressure during exercise. Identifying patients who have dynamic MR, and understanding the mechanisms underlying the condition, can potentially influence revascularization strategies (such as the surgical restoration of coronary blood flow) and interventional treatment (including cardiac resynchronization therapy and new approaches targeted to the mitral valve).

show abstract

“…1). Since these initial publications, many reports have described the use of real-time 3D TEE for imaging MV pathology [14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39]. For example, in 2013, we published a study on the superiority of real-time 3D TEE over 2D TEE for measuring the gap and width of a MV prolapse and flail [22].…”

Section: Mitral Regurgitationmentioning

confidence: 99%

Role of modern 3D echocardiography in valvular heart disease

Shiota

2014

Korean J Intern Med

View full text Add to dashboard Cite

Three-dimensional (3D) echocardiography has been conceived as one of the most promising methods for the diagnosis of valvular heart disease, and recently has become an integral clinical tool thanks to the development of high quality real-time transesophageal echocardiography (TEE). In particular, for mitral valve diseases, this new approach has proven to be the most unique, powerful, and convincing method for understanding the complicated anatomy of the mitral valve and its dynamism. The method has been useful for surgical management, including robotic mitral valve repair. Moreover, this method has become indispensable for nonsurgical mitral procedures such as edge to edge mitral repair and transcatheter closure of paravaluvular leaks. In addition, color Doppler 3D echo has been valuable to identify the location of the regurgitant orifice and the severity of the mitral regurgitation. For aortic and tricuspid valve diseases, this method may not be quite as valuable as for the mitral valve. However, the necessity of 3D echo is recognized for certain situations even for these valves, such as for evaluating the aortic annulus for transcatheter aortic valve implantation. It is now clear that this method, especially with the continued development of real-time 3D TEE technology, will enhance the diagnosis and management of patients with these valvular heart diseases.

show abstract

Mitral valve annuloplasty and papillary muscle relocation oriented by 3-dimensional transesophageal echocardiography for severe functional mitral regurgitation

Abstract: PPM relocation plus ring annuloplasty reduce mitral valve tenting and may improve mitral valve repair results for patients with severe FMR. This technique may be easily and precisely guided by preoperative offline 3D echocardiographic mitral valve reconstruction.

Cited by 24 publications

References 10 publications

A Comparison of 2 Mitral Annuloplasty Rings for Severe Ischemic Mitral Regurgitation: Clinical and Echocardiographic Outcomes

A Comparison of 2 Mitral Annuloplasty Rings for Severe Ischemic Mitral Regurgitation: Clinical and Echocardiographic Outcomes

Therapeutic decision-making for patients with fluctuating mitral regurgitation

Role of modern 3D echocardiography in valvular heart disease

Contact Info

Product

Resources

About