Key result
Multimodality imaging provides comprehensive anatomic and functional evaluation to guide surgical or percutaneous intervention planning in patients with secondary mitral regurgitation.
A comprehensive multimodality imaging approach is useful for evaluating mitral valve anatomy and planning surgical or percutaneous interventions in patients with secondary mitral regurgitation.
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May inform secondary mitral regurgitation repair planning; leaves open outcome benefits without prospective trials.
Secondary mitral regurgitation (MR) is frequent valvular heart disease and conveys worse prognostic. Therapeutic surgical or percutaneous options are available in the context of severe symptomatic secondary MR, but the best approach to treat these patients remains unclear, given the lack of clear clinical evidence of benefit. A comprehensive evaluation of the mitral valve apparatus and the left ventricle (LV) has the ability to clearly define and characterize the disease, and thus determine the best option for the patient to improve its clinical outcomes, as well as quality of life and symptoms. The current report reviews the mitral valve (MV) anatomy, the underlying mechanisms associated with secondary MR, the related therapeutic options available, and finally the usefulness of a multimodality imaging approach for the planning of surgical or percutaneous mitral valve intervention.
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Capoulade et al. (2017) conducted a review in Secondary mitral regurgitation. Multimodality imaging (Echocardiography, CMR, CT, PET) was evaluated. Multimodality imaging provides comprehensive anatomic and functional evaluation to guide surgical or percutaneous intervention planning in patients with secondary mitral regurgitation.
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