Echocardiography in Mitral Valve Disease by Francesco Fulvio Faletra

By Francesco Fulvio Faletra

This ebook offers a complete account of the position of echocardiography in sufferers with mitral valve ailment. the traditional echocardiographic anatomy of the mitral valve is first provided, and the purposes of echocardiography in mitral valve affliction are then lined intimately through specialists from varied subspecialties in cardiology. subject matters contain etiology, pathophysiology, analysis, overview of severity, and function of echocardiography in percutaneous and surgical options. The hugely readable textual content is supported through a wealth of colour pictures bought with 3D echocardiography, presently the best for the overview of mitral valve ailment. The interdisciplinary technique utilized in describing the diagnostic and healing functions will make this e-book beneficial for the scientific heart specialist in addition to the echocardiographer. it is going to enable cardiologists to strengthen their wisdom within the box and should function a good updating instrument for pros engaged in echocardiography and cardiac diagnostic imaging. ​

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The appearance of regurgitation in such cases is invariably due to ruptured chordae tendineae with the involvement of a single scallop, while in the case of myxomatous degeneration regurgitation is present even in absence of chordal rupture. 1 Transthoracic and Transesophageal TwoDimensional and ThreeDimensional Echocardiography The possibility of using echocardiography to distinguish between the two classical degenerative forms, fibroelastic deficiency and myxomatous valve, is principally based on the observation that in the former only one scallop is usually involved and the remaining parts of the valve do not have a myxomatous appearance (Fig.

Finally, even the chordae tendineae experience mucoid infiltration, which fragments the fibrous core. Depending on the accumulation of mucous substances and the fragmentation of collagen, the chordae may appear either flexible or swollen, but functionally weaker. 2 Degenerative Mitral Valve Insufficiency excessive proteolytic activity (affecting collagen and elastic fibers too) by the cell population that is present in the spongiosa with degradation of collagen and elastin and accumulation of proteoglycans [8].

The prolapse of one or more parts of the valve may be seen in movement and the extension of the prolapsed part can be visualized in vivo, represented as a protuberance in the left atrial cavity (Fig. 16a), while, when observing the prolapse from the left ventricle, this appears as a depression (Fig. 16b). In the case of chordal rupture, with an overall view, it is easier to establish the position and number of ruptured chordae, even if, it must be 36 Fig. 14 a Same image as in the preceding Fig.

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