Billowing, floppy, prolapsed or flail mitral valves?

Barlow, John B.; Pocock, Wendy A.

doi:10.1016/0002-9149(85)90402-3

Cited by 83 publications

(31 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…10 -12 We hypothesized that RT3DE-derived measurements of valvular anatomy could be used to characterize DMVD objectively. The goals of this study were (1) to describe the pathomorphology of the MV in DMVD and (2) to identify specific quantitative 3D echocardiographic parameters that accurately characterize DMVD and therefore could be used to differentiate patients with normal, FED, and BD valves, estimate the complexity of disease, and thus optimize treatment strategy.…”

Section: Clinical Perspective On P 32mentioning

confidence: 99%

“…1 DMVD encompasses 2 broad categories, fibroelastic deficiency (FED) and Barlow disease (BD). 2,3 Accurate diagnosis of these entities along with their specific location and complexity is important because they require different surgical planning, which necessitates careful matching of the complexity of reparability with surgical expertise. 4 -9 Differential diagnosis in DMVD is challenging because it relies on qualitative evaluation that requires a high level of clinical echocardiographic expertise.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Characterization of Degenerative Mitral Valve Disease Using Morphologic Analysis of Real-Time Three-Dimensional Echocardiographic Images

Chandra

Salgo

Sugeng

et al. 2011

Circ: Cardiovascular Imaging

151

View full text Add to dashboard Cite

Background-Presurgical planning of mitral valve (MV) repair in patients with Barlow disease (BD) and fibroelastic deficiency (FED) is challenging because of the inability to assess accurately the complexity of MV prolapse. We hypothesized that the etiology of degenerative MV disease (DMVD) could be objectively and accurately ascertained using parameters of MV geometry obtained by morphological analysis of real-time 3D echocardiographic (RT3DE) images. Methods and Results-Seventy-seven patients underwent transesophageal RT3DE study: 57 patients with DMVD studied intraoperatively (28 BD, 29 FED classified during surgery) and 20 patients with normal MV who were used as control subjects (NL). MVQ software (Philips) was used to measure parameters of annular dimensions and geometry and leaflet surface area, including billowing volume and height. The Student t test and multinomial logistic regression was performed to identify parameters best differentiating DMVD patients from normal as well as FED from BD. Morphological analysis in the DMVD group revealed a progressive increase in multiple parameters from NL to FED to BD, allowing for accurate diagnosis of these entities. The strongest predictors of the presence of DMVD included billowing height and volume. Three-dimensional billowing height with a cutoff value of 1.0 mm differentiated DMVD from NL without overlap, and billowing volume with a cutoff value 1.15 mL differentiated between FED and BD without overlap. Conclusions-Morphological analysis as a form of decision support in assessing MV billowing revealed significant quantifiable differences between NL, FED, and BD patients, allowing accurate classification of the etiology of MV prolapse and determination of the anticipated complexity of repair. (Circ Cardiovasc Imaging. 2011;4:24-32.)

show abstract

Section: Clinical Perspective On P 32mentioning

confidence: 99%

mentioning

confidence: 99%

Characterization of Degenerative Mitral Valve Disease Using Morphologic Analysis of Real-Time Three-Dimensional Echocardiographic Images

Chandra

Salgo

Sugeng

et al. 2011

Circ: Cardiovascular Imaging

151

View full text Add to dashboard Cite

show abstract

“…28 The repair of extreme Barlow's disease showing billowing and prolapse of both leafl ets is diffi cult. We cannot detail advice and pitfalls regarding the repair procedure of extreme Barlow's disease because there was only one patient with the disease in this study.…”

Section: Extreme Barlow Diseasementioning

confidence: 99%

Mitral valve repair for degenerative disease with leaflet prolapse: to improve long-term outcomes

Miura

Eishi

Yamachika

et al. 2009

Gen Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Two main entities comprising the disease process are fibroelastic deficiency and Barlow's disease; both of these entities are associated with increased cardiovascular morbidity and mortality [17][18][19]. In Barlow's disease, MV has thick leaflets, excess tissue, dilated annulus, and elongated and/or ruptured chordae, with multisegmental and often bileaflet prolapse or billowing leaflets.…”

Section: Degenerative MV Disease and Three-dimensional Echocardiographymentioning

confidence: 99%

Three-dimensional Echocardiography of the Mitral Valve Leaflet Anatomy and Repair

Chandra

Sugeng

Lang

2010

Curr Cardiovasc Imaging Rep

View full text Add to dashboard Cite

Three-dimensional echocardiography (3DE) has made tremendous strides in the past decade and its promise of a seamless integration into clinical practice is being increasingly realized. Its realistic views of the mitral valve (MV) provide a unique surgical perspective. From its detailed morphologic characteristics to its reproducible quantitative analysis of the MV, 3DE's role in complex MV disease has become indispensible. In this article we review the current utilization of 3DE and its incremental role over twodimensional echocardiography in various clinical situations, including etiologic classification and severity of degenerative MV disease, understanding the complex geometric changes and interactions of the MV components in ischemic mitral regurgitation, and facilitation of surgical and percutaneous MV repair by intra-procedural guidance as well as reliable post-repair assessment.

show abstract

Billowing, floppy, prolapsed or flail mitral valves?

Cited by 83 publications

References 9 publications

Characterization of Degenerative Mitral Valve Disease Using Morphologic Analysis of Real-Time Three-Dimensional Echocardiographic Images

Characterization of Degenerative Mitral Valve Disease Using Morphologic Analysis of Real-Time Three-Dimensional Echocardiographic Images

Mitral valve repair for degenerative disease with leaflet prolapse: to improve long-term outcomes

Three-dimensional Echocardiography of the Mitral Valve Leaflet Anatomy and Repair

Contact Info

Product

Resources

About