Quader Nishath, Rigolin Vera H
Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Cardiovasc Ultrasound. 2014 Oct 25;12:42. doi: 10.1186/1476-7120-12-42.
Mitral regurgitation may develop when the leaflets or any other portion of the apparatus becomes abnormal. As the repair techniques for mitral valve disease evolved, so has the need for detailed and accurate imaging of the mitral valve prior to surgery in order to better define the mechanism of valve dysfunction and the severity of regurgitation. In patients with significant mitral valve disease who require surgical intervention, multiplane transesophageal echocardiogram (TEE) is invaluable for surgical planning. However, a comprehensive TEE in a patient with complex mitral valve disease requires great experience and skill. There is evidence to suggest that 3D echocardiography can overcome some of the limitations of 2D multiplane TEE and thus is crucial in evaluation of patients undergoing mitral valve surgery. In the following sections, we review some of the crucial 2D and 3D echo images necessary for evaluation of MR based on the Carpentier classification.
当瓣叶或装置的任何其他部分出现异常时，可能会发生二尖瓣反流。随着二尖瓣疾病修复技术的发展，术前对二尖瓣进行详细、准确成像的需求也在增加，以便更好地确定瓣膜功能障碍的机制和反流的严重程度。对于需要手术干预的重度二尖瓣疾病患者，多平面经食管超声心动图（TEE）在手术规划中具有重要价值。然而，对患有复杂二尖瓣疾病的患者进行全面的TEE检查需要丰富的经验和技能。有证据表明，三维超声心动图可以克服二维多平面TEE的一些局限性，因此在评估二尖瓣手术患者时至关重要。在以下章节中，我们将根据Carpentier分类法回顾评估二尖瓣反流所需的一些关键二维和三维超声图像。
