Prolapse Volume to Prolapse Height Ratio for Differentiating Barlow’s Disease From Fibroelastic Deficiency

Background:As mitral valve (MV) repair for Barlow’s disease remains surgically challenging, it is important to distinguish Barlow’s disease from fibroelastic deficiency (FED) preoperatively. We hypothesized that the prolapse volume to prolapse height ratio (PV-PH ratio) may be useful to differentiat...

Full description

Saved in:
Bibliographic Details
Published in:Circulation Journal 2017/10/25, Vol.81(11), pp.1730-1735
Main Authors: Kagiyama, Nobuyuki, Toki, Misako, Hayashida, Akihiro, Ohara, Minako, Hirohata, Atsushi, Yamamoto, Keizo, Totsugawa, Toshinori, Sakaguchi, Taichi, Yoshida, Kiyoshi, Isobe, Mitsuaki
Format: Article
Language:English
Subjects:
Adult
Diagnosis, Differential
Endocardial Fibroelastosis - diagnosis
Female
Humans
Imaging
Male
Middle Aged
Mitral regurgitation
Mitral valve
Mitral Valve Prolapse - diagnosis
Mitral Valve Prolapse - pathology
ROC Curve
Sensitivity and Specificity
Transesophageal echocardiography
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background:As mitral valve (MV) repair for Barlow’s disease remains surgically challenging, it is important to distinguish Barlow’s disease from fibroelastic deficiency (FED) preoperatively. We hypothesized that the prolapse volume to prolapse height ratio (PV-PH ratio) may be useful to differentiate Barlow’s disease and FED.Methods and Results:In 76 patients with MV prolapse who underwent presurgical transesophageal echocardiography, the 3D MV morphology was quantified: 19 patients were diagnosed with Barlow’s disease and 57 with FED. The patients with Barlow’s disease had greater prolapse volume and height than the patients with FED, as well as greater PV-PH ratio (0.61±0.35 vs. 0.17±0.10, P
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.CJ-16-1291