Severe mitral regurgitation recurrence after successful percutaneous mitral edge‐to‐edge repair by Mitraclip in primary mitral regurgitation: Insights from a three‐dimensional echocardiography study

2021 ◽  
Author(s):  
Yoan Lavie‐Badie ◽  
Fabien Vannier ◽  
Eve Cariou ◽  
Pauline Fournier ◽  
Romain Itier ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Three Dimensional ◽  
Severe Mitral Regurgitation ◽  
Primary Mitral Regurgitation ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

scholarly journals Severe mitral regurgitation recurrence after successful percutaneous mitral edge-to-edge repair by Mitraclip: Insights from a three-dimensional echocardiography study

2021 ◽  
Author(s):  
Yoan Lavie Badie ◽  
Fabien Vannier ◽  
Eve Cariou ◽  
Pauline Fournier ◽  
Romain Itier ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Primary Endpoint ◽  
Three Dimensional ◽  
Composite Endpoint ◽  
Line Length ◽  
Severe Mitral Regurgitation ◽  
Coaptation Line ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

Background: The sustainability of the results of mitraclip procedures is a source of concern. Aims: To investigate risk factors of severe mitral regurgitation (MR) recurrence after Mitraclip in primary MR. Methods and results: Eighty-three patients undergoing successful Mitraclip procedures were retrospectively included. Valve anatomy and Mitraclips placement were comprehensively analyzed by post-processing 3D echocardiographic acquisition. The primary composite endpoint was the recurrence of severe MR. Mean age was 83±7 years-old, 37 (44%) were female. Median follow-up was 381 days (IQR 195-717) and 17 (20%) patients reached the primary endpoint. Main causes of recurrence of severe MR were relapse of a prolapse (64%) and single leaflet detachment (23%). Posterior coaptation line length (HR 1.06 95%CI 1.01-1.12 p=0.02), poor imaging quality (HR 3.84, 95%CI1.12-13.19; p=0.03), and inter-clip distance (HR 1.60, 95%CI 1.27-2.02; p<0.01) were associated with the occurrence of the primary endpoint. Conclusions: Recurrence of severe MR after a MitraClip procedure for primary MR is common and results from a complex interplay between anatomical (tissue excess) and procedural criteria (quality of ultrasound guidance and MitraClips spacing).

scholarly journals Progress in Research of Asymptomatic Primary Mitral Regurgitation Examination Methods: A Review of Literature

2021 ◽  
Vol 24 (1) ◽  
pp. E116-E120
Author(s):  
Chen Ma ◽  
Xie Fei ◽  
Ding Wei Hao ◽  
Zong Wei Xiao
Keyword(s):  
Mitral Regurgitation ◽  
Clinical Symptoms ◽  
Stress Test ◽  
Three Dimensional ◽  
Exercise Stress Test ◽  
Exercise Stress ◽  
Asymptomatic Patients ◽  
Primary Mitral Regurgitation ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

Mitral regurgitation (MR) is a common valvular heart disease, which can be classified into primary and secondary, according to the cause. Primary mitral regurgitation (PMR) is caused by rheumatic fever, degenerative changes, valve prolapse, etc. The appearance of clinical symptoms has always been the best indicator of surgical intervention in patients with severe PMR, but for asymptomatic patients, the best treatment has been controversial. The choice of follow-up observation or early surgery has different results in different randomized studies. Two-dimensional echocardiography is the most commonly used detection method for evaluating MR, but its evaluation of the degree of reflux may be inaccurate, and there are differences in the outcomes of patients with asymptomatic PMR. Recent studies have shown that three-dimensional echocardiography, cardiac magnetic resonance, speckle-tracking echocardiography, brain natriuretic peptide, and exercise stress test can optimize the timing of surgery for asymptomatic patients and judge the asymptomatic of PMR.

scholarly journals Two and Three-Dimensional Echocardiography in Primary Mitral Regurgitation: Practical Hints to Optimize the Surgical Planning

2021 ◽  
Vol 8 ◽  
Author(s):  
Maria Concetta Pastore ◽  
Giulia Elena Mandoli ◽  
Anna Sannino ◽  
Aleksander Dokollari ◽  
Gianluigi Bisleri ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Point Of View ◽  
Echocardiographic Evaluation ◽  
Primary Mitral Regurgitation ◽  
Dimensional Echocardiography ◽  
Reference Parameters ◽  
Three Dimensional Echocardiography ◽  
Cardiac Surgeons

Primary mitral regurgitation (MR) is the second most common valvular disease, characterized by a high burden in terms of quality of life, morbidity, and mortality. Surgical treatment is considered the best therapeutic strategy for patients with severe MR, especially if they are symptomatic. However, pre-operative echocardiographic evaluation is an essential step not only for surgical candidate selection but also to avoid post-operative complications. Therefore, a strong collaboration between cardiologists and cardiac surgeons is fundamental in this setting. A meticulous pre-operative echocardiographic exam, both with transthoracic or transesophageal echocardiography, followed by a precise report containing anatomical information and parameters should always be performed to optimize surgical planning. Moreover, intraoperative transesophageal evaluation is often required by cardiac surgeons as it may offer additive important information with different hemodynamic conditions. Three-dimensional echocardiography has recently gained higher consideration and availability for the evaluation of MR, providing more insights into mitral valve geometry and MR mechanism. This review paper aims to realize a practical overview on the main use of basic and advanced echocardiography in MR surgical planning and to provide a precise checklist with reference parameters to follow when performing pre-operative echocardiographic exam, in order to aid cardiologists to provide a complete echocardiographic evaluation for MR operation planning from clinical and surgical point-of-view.

Unexpected mechanism of mitral regurgitation in a patient post ALCAPA repair: Added value of three‐dimensional echocardiography

2020 ◽  
Vol 37 (8) ◽  
pp. 1315-1317
Author(s):  
Oleksandr Danylenko ◽  
Elena Surkova ◽  
Roxy Senior ◽  
Wei Li
Keyword(s):  
Mitral Regurgitation ◽  
Three Dimensional ◽  
Added Value ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

Cardiac magnetic resonance imaging for assessment of mitral stenosis before and after percutaneous balloon valvuloplasty in comparison to two- and three-dimensional echocardiography

2020 ◽  
Vol 61 (9) ◽  
pp. 1176-1185
Author(s):  
Hanaa MM Abdelaziz ◽  
Ahmed M Tawfik ◽  
Ayman A Abd-Elsamad ◽  
Sherif A Sakr ◽  
Abdulsalam M Algamal
Keyword(s):  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Mitral Regurgitation ◽  
Mitral Stenosis ◽  
Three Dimensional ◽  
Percutaneous Balloon ◽  
Before And After ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography ◽  
2D And 3D

Background The experience with cardiac magnetic resonance (CMR) in mitral stenosis (MS) is limited in contrast to mitral regurgitation. Purpose To compare CMR versus 2D and 3D transthoracic (TTE) and 3D transesophgeal (TEE) echocardiography in assessment of rheumatic MS before and after percutaneous balloon mitral valvuloplasty (PBMV). Material and Methods Twenty consecutive symptomatic patients with MS were evaluated prospectively and independently by CMR, TTE, and TEE pre-PBMV, and by CMR and TTE post-PBMV. Mitral valve area (MVA) was assessed by CMR planimetry, TTE and TEE planimetry, and pressure half time (PHT). Further assessment included trans-mitral velocity, mitral regurgitation (MR), and left atrial (LA) volume. Results PBMV was successful in 18 patients and failed in two patients (one with MVA <1.5 cm2, one developed severe MR). Pre-PBMV and MVA by CMR, 2D TTE, biplane, 3D TTE, 3D TEE, and PHT were 1.16, 1.16, 1.10, 1.02, 1.05, and 0.99 cm2, respectively. Post-PBMV, a significant increase in MVA was observed (2.15, 2.06, 2.07, 2.04, and 2.03 cm2, respectively). High agreement was observed between CMR and echocardiography before and after PBMV, except for PHT method. CMR significantly underestimated trans-mitral velocity and gradients compared to echocardiography (P<0.001). Before PBMV, mild MR was observed in 11, 12, and 19 patients by 2D TTE, 3D TTE, and CMR. After PBMV, MR was observed in all patients (19 mild, one severe) by all modalities. Echocardiography significantly underestimated LA volume compared to CMR (P<0.001). LA volume decreased significantly after PBMV (P<0.001). Conclusion CMR provides comprehensive assessment of several parameters in MS patients before and after intervention. Agreement with echocardiography is acceptable.

Mitral Regurgitation After MitraClip: Impact of Mitral Regurgitant Orifice Morphology Evaluated by Three-dimensional Echocardiography

2014 ◽  
Vol 67 (7) ◽  
pp. 581-582
Author(s):  
Mónica Martín ◽  
Dolores Mesa ◽  
Francisco Carrasco ◽  
Martín Ruiz ◽  
Mónica Delgado ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Three Dimensional ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

scholarly journals GW25-e1451 Evaluate the ischeamic mitral regurgitation using dobutamine stress real-time three-dimensional echocardiography

2014 ◽  
Vol 64 (16) ◽  
pp. C118
Author(s):  
Bai Wenjuan ◽  
Jiani Liu ◽  
Liping Chen ◽  
Li Rao ◽  
Mingchon Hsiung ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Real Time ◽  
Three Dimensional ◽  
Dobutamine Stress ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography
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