L'ECHOGRAPHIE DES INSUFFISANCES MITRALES CHIRURGICALES: DIAGNOSTIC LESIONNEL ET PREVISION DU TYPE DE CHIRURGIE

Translated title of the contribution: Echocardiography in surgical mitral regurgitation: Lesional diagnosis and prevision of the type of surgery

B. Cormier, C. Starkman, M. Enriquez-Sarano, B. Vitoux, A. Kulas, J. Dewilde, D. Grimberg, J. Acar

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

The aim of this study was to determine the reliability of preoperative transthoracic and transesophageal echocardiography compared with the surgical findings in pure or dominant severe mitral regurgitation with respect to: the evaluation of the lesions, mechanism and etiology; the prevision of the type of surgery (valve replacement or reconstruction); One hundred and fifty patients were divided into two groups: Group I (N = 120) in which preoperative assessment included transthoracic echo-Doppler coupled with color Doppler in the last 32 patients; Group II (N = 30) operated recently who underwent both transesophageal and transthoratic echo-Doppler examination. In Group I, the sensitivity of transthoracic echo in the evaluation of the etiological was 86% overall [100% in rheumatic valve disease (N = 28), 86% in degenerative or dystrophic valves (N = 72), 44% in endocarditis (N = 9), 87% in ischaemic dysfunction (N = 8)]. The echo evaluation of the mechanism of the regurgitation was also reliable with the exception of ruptured chordae in which direct visualisation of the rupture was only possible in 19 of the 64 cases (30%). The type of surgery predicted by echo was practiced in 87% of cases.

Translated title of the contributionEchocardiography in surgical mitral regurgitation: Lesional diagnosis and prevision of the type of surgery
Original languageFrench
Pages (from-to)345-350
Number of pages6
JournalArchives des Maladies du Coeur et des Vaisseaux
Volume83
Issue number3
StatePublished - Jan 1 1990

Keywords

  • Chirurgie conservatrice
  • Echographie
  • Insuffisance mitrale

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Echocardiography in surgical mitral regurgitation: Lesional diagnosis and prevision of the type of surgery'. Together they form a unique fingerprint.

  • Cite this