Intraoperative assessment of mitral regurgitation

Since its advent, transesophageal echocardiography (TEE) has played an important role in the surgical management of patients undergoing mitral valve (MV) surgery. Mitral regurgitation (MR) assessment and surgical decision making remains one of the most challenging situations, especially when conside...

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Main Authors: Angela L Pollak, Madhav Swaminathan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
Subjects:
Online Access:http://www.jiaecho.org/article.asp?issn=2543-1463;year=2019;volume=3;issue=2;spage=66;epage=70;aulast=Pollak
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author Angela L Pollak
Madhav Swaminathan
author_facet Angela L Pollak
Madhav Swaminathan
author_sort Angela L Pollak
collection DOAJ
description Since its advent, transesophageal echocardiography (TEE) has played an important role in the surgical management of patients undergoing mitral valve (MV) surgery. Mitral regurgitation (MR) assessment and surgical decision making remains one of the most challenging situations, especially when considered in the context of ischemic heart disease or when associated with another dominant lesions. Techniques for MV repair are becoming more and more intricate with outcome studies strongly supporting repair in contrast to replacement in patients with primary MV pathology. It is in these scenarios that a comprehensive intraoperative TEE is invaluable. Once MR is detected, it is vital to assess the valve for both qualitative and quantitative features. The following text discusses the approach, challenges and value of intraoperative TEE in the assessment of MR.
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spelling doaj.art-97da368b7fb34c7ca43dbf586af76f752022-12-21T19:57:12ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712019-01-0132667010.4103/jiae.jiae_35_19Intraoperative assessment of mitral regurgitationAngela L PollakMadhav SwaminathanSince its advent, transesophageal echocardiography (TEE) has played an important role in the surgical management of patients undergoing mitral valve (MV) surgery. Mitral regurgitation (MR) assessment and surgical decision making remains one of the most challenging situations, especially when considered in the context of ischemic heart disease or when associated with another dominant lesions. Techniques for MV repair are becoming more and more intricate with outcome studies strongly supporting repair in contrast to replacement in patients with primary MV pathology. It is in these scenarios that a comprehensive intraoperative TEE is invaluable. Once MR is detected, it is vital to assess the valve for both qualitative and quantitative features. The following text discusses the approach, challenges and value of intraoperative TEE in the assessment of MR.http://www.jiaecho.org/article.asp?issn=2543-1463;year=2019;volume=3;issue=2;spage=66;epage=70;aulast=Pollakechocardiographyintraoperativemitral regurgitation
spellingShingle Angela L Pollak
Madhav Swaminathan
Intraoperative assessment of mitral regurgitation
Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
echocardiography
intraoperative
mitral regurgitation
title Intraoperative assessment of mitral regurgitation
title_full Intraoperative assessment of mitral regurgitation
title_fullStr Intraoperative assessment of mitral regurgitation
title_full_unstemmed Intraoperative assessment of mitral regurgitation
title_short Intraoperative assessment of mitral regurgitation
title_sort intraoperative assessment of mitral regurgitation
topic echocardiography
intraoperative
mitral regurgitation
url http://www.jiaecho.org/article.asp?issn=2543-1463;year=2019;volume=3;issue=2;spage=66;epage=70;aulast=Pollak
work_keys_str_mv AT angelalpollak intraoperativeassessmentofmitralregurgitation
AT madhavswaminathan intraoperativeassessmentofmitralregurgitation