The role of echocardiography and doppler ultrasound in evaluation of prosthetic mitral valves

    Authors

    Abstract

    Mitral regurgitation (MR) is characterized by abnormal backflow of blood through the mitral valve during the systolic phase of cardiac cycle. Usually, it is the main indication for mitral valve repair or mitral valve replacement at the onset of symptoms of congestive heart failure. Although mitral valve repair is now frequently performed, especially for mitral regurgitation, valve replacement remains common (1). Echocardiography with Doppler is the method of choice for the non-invasive evaluation of prosthetic valve function and can provide a valuable information about functioning of operating valve and about medical management and considerations for reoperation on valvular complications (2). Because the assessment of prosthetic valve is more demanding, both to perform and to interpret, compared with native valves, transesophageal echocardiography (TEE) is preferable method for the evaluation of prosthetic valvular structure and associated complications (3, 4).

    Keywords

    mitral regurgitation, mitral valve repair, mitral valve replacement, echocardiography

    DOI

    https://doi.org/10.15836/ccar2018.182

    Literature

    1. Matiasz R, Rigolin VH. 2017 Focused Update for Management of Patients With Valvular Heart Disease: Summary of New Recommendations. J Am Heart Assoc. 2018 Jan;7(1):e007596. https://doi.org/10.1161/JAHA.117.007596
    2. Thavendiranathan P, Phelan D, Collier P, Thomas JD, Flamm SD, Marwick TH. Quantitative assessment of mitral regurgitation: how best to do it. JACC Cardiovasc Imaging. 2012 Nov;5(11):1161–75. https://doi.org/10.1016/j.jcmg.2012.07.013
    3. Genoni M, Franzen D, Vogt P, Seifert B, Jenni R, Künzli A, et al. Paravalvular leakage after mitral valve replacement: improved long-term survival with aggressive surgery? Eur J Cardiothorac Surg. 2000 Jan;17(1):14–9. https://doi.org/10.1016/S1010-7940(99)00358-9
    4. Capoulade R, Piriou N, Serfaty JM, Le Tourneau T. Multimodality imaging assessment of mitral valve anatomy in planning for mitral valve repair in secondary mitral regurgitation. J Thorac Dis. 2017 Jun;9 Suppl 7:S640–60. https://doi.org/10.21037/jtd.2017.06.99
    Cardiologia Croatica
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    The role of echocardiography and doppler ultrasound in evaluation of prosthetic mitral valves

    Extended Abstract
    Issue5-6
    Published
    Pages182
    PDF via DOIhttps://doi.org/10.15836/ccar2018.182
    mitral regurgitation
    mitral valve repair
    mitral valve replacement
    echocardiography

    Authors

    Diana Rudan*ORCIDUniversity Hospital Dubrava, Zagreb, Croatia
    Ivana Jurin*ORCIDUniversity Hospital Dubrava, Zagreb, Croatia

    *Correspondence email: drudan3@yahoo.com

    Abstract

    Mitral regurgitation (MR) is characterized by abnormal backflow of blood through the mitral valve during the systolic phase of cardiac cycle. Usually, it is the main indication for mitral valve repair or mitral valve replacement at the onset of symptoms of congestive heart failure. Although mitral valve repair is now frequently performed, especially for mitral regurgitation, valve replacement remains common (1). Echocardiography with Doppler is the method of choice for the non-invasive evaluation of prosthetic valve function and can provide a valuable information about functioning of operating valve and about medical management and considerations for reoperation on valvular complications (2). Because the assessment of prosthetic valve is more demanding, both to perform and to interpret, compared with native valves, transesophageal echocardiography (TEE) is preferable method for the evaluation of prosthetic valvular structure and associated complications (3, 4).

    Literature

    1. 1.
      Matiasz R, Rigolin VH. 2017 Focused Update for Management of Patients With Valvular Heart Disease: Summary of New Recommendations. J Am Heart Assoc. 2018 Jan;7(1):e007596.DOI
    2. 2.
      Thavendiranathan P, Phelan D, Collier P, Thomas JD, Flamm SD, Marwick TH. Quantitative assessment of mitral regurgitation: how best to do it. JACC Cardiovasc Imaging. 2012 Nov;5(11):1161–75.DOI
    3. 3.
      Genoni M, Franzen D, Vogt P, Seifert B, Jenni R, Künzli A, et al. Paravalvular leakage after mitral valve replacement: improved long-term survival with aggressive surgery? Eur J Cardiothorac Surg. 2000 Jan;17(1):14–9.DOI
    4. 4.
      Capoulade R, Piriou N, Serfaty JM, Le Tourneau T. Multimodality imaging assessment of mitral valve anatomy in planning for mitral valve repair in secondary mitral regurgitation. J Thorac Dis. 2017 Jun;9 Suppl 7:S640–60.DOI