By Martin G. St. John Sutton, Alan R. Maniet
The one ebook to be had on transesophageal echocardiography of the mitral valve, this notable and hugely illustrated textual content offers a concise but in-depth research of the mitral valve from an adventure of over 10,000 transesophageal echocardiograms played through the authors. a kick off point or 'how-to' reference for learning the mitral valve with transesophageal echocardiography, Mitral Valve Transesophageal Echocardiography can also be a hugely resource for diagnostic examples of mitral pathology for physicians who perform transesophageal echocardiography.
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Additional info for Mitral Valve Transesophageal Echocardiography
Example text
Valve mobility, thickness, and calcification, and subvalvular thickening, are all graded echocardiographically, and the individual scores are added together to give a score index between 1 and 16. Patients with a score of 8 or less have a greater than 90% likelihood of a satisfactory result with balloon dilatation. The predictors that correlate best with mitral valve splitability or subsequent area improvement are the severity of leaflet thickness, pliability, and degree of valve calcification.
The posterior papillary muscle is seen at the top of the image and the anterior papillary muscle is seen at the bottom of the image. Both papillary muscles are seated in the posterior third of the ventricle during (a) diastole and (b) systole, which promotes a smaller posterior circumferential dimension than anterior dimension. This dimension is important in that it ensures blood flow in a posterior direction from the left ventricular inflow and also promotes a parallel chordal arrangement to the posterior mitral leaflet.
Circ Res 1956;4:337. 7. Carpentier A, Deloche A, Dauptain J, et al. A new reconstructive operation for correction of mitral and tricuspid insufficiency. J Thorac Cardiovasc Surg 1971;61:1–13. 8. Zimmerman J, Bailey CP. The surgical significance of the fibrous skeleton of the heart. J Thorac Cardiovasc Surg 1962;44:701. 9. Komeda M, Glasson JR, Bolger AF, et al. Threedimensional dynamic geometry of the normal canine mitral annulus and papillary muscles. Circulation 1996;49:II159–63. 10. Titus JL.