Echocardiography and Correction of Mitral Regurgitation: An Unbreakable Link

Sara Cimino, Fabio Guarracino, Valentina Valenti, Giacomo Frati, Sebastiano Sciarretta, Fabio Miraldi, Luciano Agati, Ernesto Greco

Research output: Contribution to journalReview article

Abstract

BACKGROUND: Degenerative mitral valve (MV) disease causing mitral regurgitation (MR) is the most common organic valve pathology and is classified based on leaflet motion. MV repair is indicated as the preferred technique (Class I indication) when the results are expected to be durable. Therefore, a detailed and systematic evaluation of MV apparatus is pivotal in allowing the proper surgical planning, as well as the screening for trans catheter-based treatment when surgery is not indicated.

AIM: The aim of the present review is to describe the crucial role of both Transthoracic Echocardiography (TTE) and Transesophageal Echocardiography (TEE) in the decisional process and the guidance of MV repair procedures. TTE is the main investigation and the first approach used to make diagnosis of MR, to assess the severity and to describe the underlying mechanism, while TEE, especially with 3D echocardiography, has been shown to be useful for clarifying complicated valvular anatomy, assessing the surgical result and detecting complications. The surgical treatment of MR takes advantage of ultrasound evaluation of MV apparatus at any stage of the process, thus making the link between surgery and echocardiography unbreakable throughout the perioperative phase.

Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalCardiology
DOIs
Publication statusE-pub ahead of print - Dec 3 2019

Fingerprint

Mitral Valve Insufficiency
Mitral Valve
Echocardiography
Transesophageal Echocardiography
Three-Dimensional Echocardiography
Anatomy
Catheters
Pathology

Cite this

Cimino, S., Guarracino, F., Valenti, V., Frati, G., Sciarretta, S., Miraldi, F., ... Greco, E. (2019). Echocardiography and Correction of Mitral Regurgitation: An Unbreakable Link. Cardiology, 1-11. https://doi.org/10.1159/000504248

Echocardiography and Correction of Mitral Regurgitation : An Unbreakable Link. / Cimino, Sara; Guarracino, Fabio; Valenti, Valentina; Frati, Giacomo; Sciarretta, Sebastiano; Miraldi, Fabio; Agati, Luciano; Greco, Ernesto.

In: Cardiology, 03.12.2019, p. 1-11.

Research output: Contribution to journalReview article

Cimino, S, Guarracino, F, Valenti, V, Frati, G, Sciarretta, S, Miraldi, F, Agati, L & Greco, E 2019, 'Echocardiography and Correction of Mitral Regurgitation: An Unbreakable Link', Cardiology, pp. 1-11. https://doi.org/10.1159/000504248
Cimino, Sara ; Guarracino, Fabio ; Valenti, Valentina ; Frati, Giacomo ; Sciarretta, Sebastiano ; Miraldi, Fabio ; Agati, Luciano ; Greco, Ernesto. / Echocardiography and Correction of Mitral Regurgitation : An Unbreakable Link. In: Cardiology. 2019 ; pp. 1-11.
@article{663b59d029bb42acb89aed337c480218,
title = "Echocardiography and Correction of Mitral Regurgitation: An Unbreakable Link",
abstract = "BACKGROUND: Degenerative mitral valve (MV) disease causing mitral regurgitation (MR) is the most common organic valve pathology and is classified based on leaflet motion. MV repair is indicated as the preferred technique (Class I indication) when the results are expected to be durable. Therefore, a detailed and systematic evaluation of MV apparatus is pivotal in allowing the proper surgical planning, as well as the screening for trans catheter-based treatment when surgery is not indicated.AIM: The aim of the present review is to describe the crucial role of both Transthoracic Echocardiography (TTE) and Transesophageal Echocardiography (TEE) in the decisional process and the guidance of MV repair procedures. TTE is the main investigation and the first approach used to make diagnosis of MR, to assess the severity and to describe the underlying mechanism, while TEE, especially with 3D echocardiography, has been shown to be useful for clarifying complicated valvular anatomy, assessing the surgical result and detecting complications. The surgical treatment of MR takes advantage of ultrasound evaluation of MV apparatus at any stage of the process, thus making the link between surgery and echocardiography unbreakable throughout the perioperative phase.",
author = "Sara Cimino and Fabio Guarracino and Valentina Valenti and Giacomo Frati and Sebastiano Sciarretta and Fabio Miraldi and Luciano Agati and Ernesto Greco",
note = "{\circledC} 2019 S. Karger AG, Basel.",
year = "2019",
month = "12",
day = "3",
doi = "10.1159/000504248",
language = "English",
pages = "1--11",
journal = "Cardiology",
issn = "0008-6312",
publisher = "S. Karger AG",

}

TY - JOUR

T1 - Echocardiography and Correction of Mitral Regurgitation

T2 - An Unbreakable Link

AU - Cimino, Sara

AU - Guarracino, Fabio

AU - Valenti, Valentina

AU - Frati, Giacomo

AU - Sciarretta, Sebastiano

AU - Miraldi, Fabio

AU - Agati, Luciano

AU - Greco, Ernesto

N1 - © 2019 S. Karger AG, Basel.

PY - 2019/12/3

Y1 - 2019/12/3

N2 - BACKGROUND: Degenerative mitral valve (MV) disease causing mitral regurgitation (MR) is the most common organic valve pathology and is classified based on leaflet motion. MV repair is indicated as the preferred technique (Class I indication) when the results are expected to be durable. Therefore, a detailed and systematic evaluation of MV apparatus is pivotal in allowing the proper surgical planning, as well as the screening for trans catheter-based treatment when surgery is not indicated.AIM: The aim of the present review is to describe the crucial role of both Transthoracic Echocardiography (TTE) and Transesophageal Echocardiography (TEE) in the decisional process and the guidance of MV repair procedures. TTE is the main investigation and the first approach used to make diagnosis of MR, to assess the severity and to describe the underlying mechanism, while TEE, especially with 3D echocardiography, has been shown to be useful for clarifying complicated valvular anatomy, assessing the surgical result and detecting complications. The surgical treatment of MR takes advantage of ultrasound evaluation of MV apparatus at any stage of the process, thus making the link between surgery and echocardiography unbreakable throughout the perioperative phase.

AB - BACKGROUND: Degenerative mitral valve (MV) disease causing mitral regurgitation (MR) is the most common organic valve pathology and is classified based on leaflet motion. MV repair is indicated as the preferred technique (Class I indication) when the results are expected to be durable. Therefore, a detailed and systematic evaluation of MV apparatus is pivotal in allowing the proper surgical planning, as well as the screening for trans catheter-based treatment when surgery is not indicated.AIM: The aim of the present review is to describe the crucial role of both Transthoracic Echocardiography (TTE) and Transesophageal Echocardiography (TEE) in the decisional process and the guidance of MV repair procedures. TTE is the main investigation and the first approach used to make diagnosis of MR, to assess the severity and to describe the underlying mechanism, while TEE, especially with 3D echocardiography, has been shown to be useful for clarifying complicated valvular anatomy, assessing the surgical result and detecting complications. The surgical treatment of MR takes advantage of ultrasound evaluation of MV apparatus at any stage of the process, thus making the link between surgery and echocardiography unbreakable throughout the perioperative phase.

U2 - 10.1159/000504248

DO - 10.1159/000504248

M3 - Review article

C2 - 31794963

SP - 1

EP - 11

JO - Cardiology

JF - Cardiology

SN - 0008-6312

ER -