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      Echocardiographic Patterns after Mitral Annuloplasty

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          Abstract

          18 adolescents and children who underwent mitral annuloplasty for severe mitral regurgitation were evaluated by echocardiography. In 7 patients studied preoperatively, mitral valve excursion ranged from 25 to 56 mm with E-F slopes from 92 to 160 mm/sec. 5 of the 7 patients showed mitral valve prolapse. The left ventricle was dilated in 6 and the left atrium was dilated in 4 patients. Postoperatively, the mitral valve excursion decreased (range 15–26 mm; p < 0.01) as did the E-F slope (range 44–100 mm/sec; 0.10 > p > 0.05). The prolapse pattern disappeared and the left heart chambers decreased in size. In these 7 patients and in 11 others studied postoperatively only, a common echocardiographic pattern was that of early anterior motion of the posterior mitral valve leaflet, which was not present preoperatively and was, therefore, tentatively ascribed to the technique of annuloplasty repair. No calcification and no definite mitral steosis has occurred in the follow-up of these patients to date. Persistent left atrial/left ventricular dilatation appeared related to residual mitral regurgitation with or without atrial fibrillation.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          1980
          1980
          31 October 2008
          : 65
          : 3
          : 129-135
          Affiliations
          Departments of Pediatrics, Medicine and Surgery, New York University Medical Center, New York, N.Y
          Article
          170803 Cardiology 1980;65:129–135
          10.1159/000170803
          7363287
          © 1980 S. Karger AG, Basel

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          Page count
          Pages: 7
          Categories
          Original Paper

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