| The role of imaging in chronic degenerative mitral regurgitation. | |
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MedLine Citation:
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PMID: 19356431 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Chronic degenerative mitral regurgitation (MR) is a complex problem, which requires an integrated assessment of etiology, pathophysiology, and severity to enable informed clinical decision-making. A multidisciplinary approach is required, with input from the clinician, imager, and surgeon. This review begins with a discussion of essential echocardiographic and surgical mitral valve (MV) anatomy, which dictates suitability for repair when indicated. The echocardiographic and Doppler principles, which underlie the quantitation of MR severity, are summarized in the next section, followed by a critical examination of left ventricular systolic function in this disorder. A brief discussion of the important role of imaging in the developing field of percutaneous MV repair is included. The methodical and objective noninvasive assessment of degenerative MR herein reviewed is intended to help guide management decisions for patients with this challenging valve lesion. |
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Authors:
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Patrick O'Gara; Lissa Sugeng; Roberto Lang; Maurice Sarano; Judy Hung; Subha Raman; Gregory Fischer; Blasé Carabello; David Adams; Mani Vannan |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: JACC. Cardiovascular imaging Volume: 1 ISSN: 1876-7591 ISO Abbreviation: JACC Cardiovasc Imaging Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2009-04-09 Completed Date: 2009-04-30 Revised Date: 2009-05-21 |
Medline Journal Info:
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Nlm Unique ID: 101467978 Medline TA: JACC Cardiovasc Imaging Country: United States |
Other Details:
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Languages: eng Pagination: 221-37 Citation Subset: IM |
Affiliation:
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Brigham And Women's Hospital, Boston, Massachusetts, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cardiac Surgical Procedures Chronic Disease Cooperative Behavior Diagnostic Imaging* / methods Echocardiography, Doppler, Color Echocardiography, Transesophageal Heart Catheterization Humans Mitral Valve / pathology*, physiopathology, surgery Mitral Valve Insufficiency / diagnosis*, physiopathology, surgery Patient Care Team Patient Selection Predictive Value of Tests Reproducibility of Results Severity of Illness Index Tomography, X-Ray Computed Ventricular Function, Left |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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