Dhaduk Nehal, Chaus Adib, Williams David, Vainrib Alan, Ibrahim Homam
The Leon H Charney Division of Cardiology, New York University Langone Medical Center New York City, NY.
US Cardiol. 2024 Mar 18;18:e05. doi: 10.15420/usc.2022.34. eCollection 2024.
Secondary mitral regurgitation is one of the most common valve diseases. The disease is a result of left atrial or left ventricular dysfunction. It is generally classified into stages based on its severity. While surgical intervention does not confer improved survival in this subset of mitral disease, recent advances in transcatheter interventions have resulted in improved survival and symptomatology in carefully selected patients. In this review, the multimodality imaging evaluation of the mitral valve and secondary mitral regurgitation is discussed. Commercially available and investigational transcatheter interventions for secondary mitral regurgitation management are also reviewed.
继发性二尖瓣反流是最常见的瓣膜疾病之一。该疾病是左心房或左心室功能障碍的结果。它通常根据严重程度进行分期。虽然手术干预并不能提高这类二尖瓣疾病患者的生存率,但经导管介入治疗的最新进展已使精心挑选的患者的生存率和症状得到改善。在这篇综述中,讨论了二尖瓣和继发性二尖瓣反流的多模态成像评估。还综述了用于继发性二尖瓣反流治疗的商用和研究性经导管介入治疗方法。