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Three-dimensional echocardiographic modelof functional mitral insufficiency

Authors: Slivneva I.V., Sokol’skaya N.O.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

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Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2019-13-3-229-240

For citation: Slivneva I.V., Sokol’skaya N.O. Three-dimensional echocardiographic model of functional mitral insufficiency. Creative Cardiology. 2019; 13 (3): 229–40 (in Russ.). DOI: 10.24022/ 1997-3187-2019-13-3-229-240

Received / Accepted:  17.07.2019/31.07.2019

Keywords: functional mitral regurgitation three-dimensional echocardiography

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Abstract

Secondary mitral valve regurgitation is a complex disease involving distortion of the mitral valve structures and left ventricular geometry as a result of the leading cause. The mitral complex is a dynamic structure with changes in its shape and relationship of the valve components geometry throughout the cardiac cycle. Study of anatomy and motion of the mitral apparatus is necessary for complete understanding of the pathophysiology of functional changes. Recently, there has been a lot of information about the evaluation of secondary mitral insufficiency. Echocardiography is still the main non-invasive imaging technique for valvular heart disease. Success of reconstructive surgery for functional mitral insufficiency depends on the analysis of the mitral regurgitation mechanism, the reconstructive potential of the valve, the correct assessment of the quantitative characteristics of insufficiency degree. Echocardiographic assessment of functional mitral regurgitation is a complex purpose with the analysis of a large number of parameters. Three-dimensional echocardiography allows to perform the comprehensive morphofunctional analysis of mitral valve, as well as the most reliable assessment of the quantitative characteristics of the mitral regurgitation degree. It has the greater information content regarding the mechanism of secondary mitral regurgitation, structure and function of the mitral valve compared with twodimensional echocardiographic study.

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About Authors

  • Inessa V. Slivneva, Cand. Med. Sc., Researcher, Ultrasound Diagnostician, ORCID;
  • Nadezhda O. Sokol'skaya, Dr. Med. Sc., Head of the Group of Emergency Ultrasound and Functional Diagnostics, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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