Multimodality imaging for the management of patients with primary mitral regurgitation

Advanced cardiac imaging (ACI), including myocardial deformation imaging, 3D echocardiography and cardiac magnetic resonance, overcomes the limitations of conventional echocardiography in the assessment of patients with primary mitral regurgitation (MR). They enable a more precise MR quantification...

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Bibliographic Details
Published in:Journal of clinical ultrasound 2022-10, Vol.50 (8), p.1051-1059
Main Authors: Vratonjic, Jelena, Jovanovic, Ivana, Petrovic, Olga, Paunovic, Ivana, Boricic‐Kostic, Marija, Tesic, Milorad, Nedeljkovic‐Arsenovic, Olga, Maksimovic, Ruzica, Ivanovic, Branislava, Trifunovic‐Zamaklar, Danijela
Format: Article
Language:English
Subjects:
cardiac magnetic resonance
Congestive heart failure
Echocardiography
Heart function
Imaging
Magnetic resonance
mitral valve prolapse
myocardial deformation imaging
primary MR
Regurgitation
Structure-function relationships
Ultrasonic imaging
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Summary:Advanced cardiac imaging (ACI), including myocardial deformation imaging, 3D echocardiography and cardiac magnetic resonance, overcomes the limitations of conventional echocardiography in the assessment of patients with primary mitral regurgitation (MR). They enable a more precise MR quantification and reveal early changes before advanced and irreversible remodeling with depressed heart function occurs. ACI permits a thorough analysis of mitral valvular anatomy and MR mechanisms (important for planning and guiding percutaneous and surgical procedures) and helps to identify structural and functional changes coupled with a high arrhythmogenic potential, especially the occurrence of atrial fibrillation and heart failure development. The key question is how the data provided by ACI can improve the current management of primary MR. Advanced imaging techniques have a major potential to overcome the limitations of conventional echocardiography as they can assess the mitral valve morphology, its functional relationship with the surrounding structures that help guide surgeons' technique and the prediction of the outcome. They might detect early changes in the structure and function of the LV, LA and RV in primary MR, influencing the optimal time of intervention.
ISSN:0091-2751
1097-0096
DOI:10.1002/jcu.23335