Show Summary Details
Page of

Mitral valve disease 

Mitral valve disease
Chapter:
Mitral valve disease
Author(s):

Patrizio Lancellotti

, Julien Magne

, Kim O’Connor

, and Luc A. Pierard

DOI:
10.1093/med/9780199599639.003.0015
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 22 August 2019

Native mitral valve disease is the second valvular heart disease after aortic valve disease. For the last few decades, two-dimensional Doppler echocardiography was the cornerstone technique for evaluating patients with mitral valve disease. Besides aetiological information, echocardiography allows the description of valve anatomy, the assessment of disease severity, and the description of the associated lesions.

This chapter will address the echocardiographic evaluation of mitral regurgitation (MR) and mitral stenosis (MS).

In MR, the following findings should be assessed:

1. Aetiology.

2. Type and extent of anatomical lesions and mechanisms of regurgitation.

3. The possibility of mitral valve repair.

4. Quantification of MR severity.

5. Quantification of MR repercussions.

In MS, the following findings should be assessed:

1. Aetiology.

2. Type and extent of anatomical lesions.

3. Quantification of MS severity.

4. Quantification of MS repercussions.

5. Wilkins or Cormier scores for the possibility of percutaneous mitral commissuroplasty.

Management of patients with mitral valve disease is currently based on symptoms and on echocardiographic evaluation at rest. Therefore, knowing how to assess the severity of valve diseases as well as the pitfalls and the limitations of each echocardiographic method is of primary importance.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.