Mitral commissural prolapse

Mitral commissural prolapse or flail, either isolated or combined with more extensive degenerative valve disease, imposes several challenges both on its diagnosis and management while being a risk factor for valve reoperation after mitral valve repair. Accurate identification of the prolapsing segme...

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Published inEchocardiography (Mount Kisco, N.Y.) Vol. 38; no. 4; pp. 646 - 656
Main Authors Papadimitraki, Eva D., Patrianakos, Alexandros, Pitsis, Antonios, Marketou, Maria, Zacharaki, Angeliki, Parthenakis, Fragiskos
Format Journal Article
LanguageEnglish
Published United States 01.04.2021
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Summary:Mitral commissural prolapse or flail, either isolated or combined with more extensive degenerative valve disease, imposes several challenges both on its diagnosis and management while being a risk factor for valve reoperation after mitral valve repair. Accurate identification of the prolapsing segment is often not feasible with transthoracic 2D echocardiography, with transesophageal 3D imaging then required for correct diagnosis and surgical planning. Various surgical techniques employed alone or in combination have yielded good results in the repair of commissural prolapse. Herein, we analyze the specific characteristics of commissural disease focusing our attention on 2D and 3D echocardiographic findings and we briefly comment on techniques employed for surgical correction of the disease.
Bibliography:These authors Eva D. Papadimitraki and Alexandros Patrianakos contributed equally to this work.
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ISSN:0742-2822
1540-8175
DOI:10.1111/echo.14984