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Case Reports
. 2023 Aug;40(8):862-865.
doi: 10.1111/echo.15583. Epub 2023 May 3.

Pitfalls of mitral regurgitation assessment in the presence of mitral valve prolapse

Veronika Zach  1   2 , Daniel Armando Morris  1 , Burkert Pieske, Matthias Schneider-Reigbert  1
Affiliations
Case Reports

Pitfalls of mitral regurgitation assessment in the presence of mitral valve prolapse

Veronika Zach et al. Echocardiography. 2023 Aug.

Abstract

Adequate grading of mitral regurgitation (MR) in patients with mitral valve prolapse (MVP) in the presence of mid-late systolic jets can represent a major challenge. In this entity, jets are commonly overestimated by echocardiography. Correct quantification is crucial and highly relevant for the further management and prognosis of these oftentimes young patients. This case points out potential pitfalls and underlines the importance to systematically include qualitative, quantitative, and semi-quantitative parameters into the echocardiographic assessment.

Keywords: MVP; echocardiography; mitral regurgitation; mitral valve prolapse.

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REFERENCES

    1. Uretsky S, Gillam L, Lang R, et al. Discordance between echocardiography and MRI in the assessment of mitral regurgitation severity: a prospective multicenter trial. J Am Coll Cardiol. 2015;65(11):1078-1088.
    1. Vincenti G, Masci PG, Rutz T, et al. Impact of bileaflet mitral valve prolapse on quantification of mitral regurgitation with cardiac magnetic resonance: a single-center study. J Cardiovasc Magn Reson. 2017;19(1):56.
    1. Penicka M, Vecera J, Mirica DC, Kotrc M, Kockova R, Van Camp G. Prognostic implications of magnetic resonance-derived quantification in asymptomatic patients with organic mitral regurgitation. Circulation. 2018;137(13):1349-1360.
    1. Topilsky Y, Michelena H, Bichara V, Maalouf J, Mahoney DW, Enriquez-Sarano M. Mitral valve prolapse with mid-late systolic mitral regurgitation: pitfalls of evaluation and clinical outcome compared with holosystolic regurgitation. Circulation. 2012;125(13):1643-1651.
    1. Zoghbi WA, Adams D, Bonow RO, et al. Recommendations for noninvasive evaluation of native valvular regurgitation: a report from the american society of echocardiography developed in collaboration with the society for cardiovascular magnetic resonance. J Am Soc Echocardiogr. 2017;30(4):303-371.

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