Figures 20 1 through 20 5 present the anatomy of the mitral valve. Surgeons skill and experience 2.
Assessment of mitral valve dr.
Mitral valve tee anatomy. Join us next week as we start our discussion on correct scanning techniques for the mitral valve. The mitral valve consists of the mitral annulus anterior and posterior leaflets chordae tendineae and the papillary muscles. This document will review the comprehensive 2d examination of the mv.
Feasibility of mitral repair 1. This week we reviewed mitral valve anatomy to lay the foundation for our in depth review of quantification of mitral valve regurgitation. You can now confidently identify 5 components of the mitral valve apparatus.
Mitral leaflets with commissures. Transesophageal echocardiography tee is performed intraoperatively in all patients undergoing valve surgery and is critical to assess and localize valvular dysfunction. The standard modalities of real time 3d tee have recently been described 32.
The two leaflets of the mv are noticeably different in structure and are referred to as the anterior and posterior leaflets by clinicians. Accurate identification the anatomic lesions of the mitral valve echocardiography is pivotal in defining the functional anatomy of the mitral valve surgeon and echocardiographer speaking a common language mutual respect and honesty knowing when to send the. Describe the detailed anatomy of the mitral valve mv using two dimensional 2d transesophageal echocardiography tee based on the american society of echocardiographysociety of cardiovascular anesthesiology guidelines.
Anatomy the mitral valve consists of two valve leaflets the anterior leaflet amvl and the posterior leaflet pmvl which together have a surface of 4 6 cm 2. Anatomy of mitral valve mitral valve apparatus mitral valve annulus. Perturbations of the normal anatomic relations can result in mitral valve dysfunction table 3.
The mv comprises two leaflets annular attachment at the atrioventricular junction tendinous chords and the papillary muscles pms. Normal mitral valve anatomy leaflets. Mitral valve anatomy is designed to promote and maintain normal mitral valve apparatus function.
Assessment of mitral valve anatomy by real time 3 dimensional 3d transesophageal echocardiography tee has proven to be superior compared to 2 dimensional tee 121. Figure 20 1 mitral valve anatomy looking toward the left ventricle from posterior to anterior. The comprehensive tee examination of the mitral valve consists of a series of eight cross sectional views.
Assessment of mitral valve by tee 1. Altogether called as mitral. Table 3 mitral valve apparatus components in normal and diseased states.
Via chordae tendineae small tendons which ensure that the leaflets do not prolapse the valve leaflets are attached to two major papillary muscles anterolateral en posteromedial in the left ventricle.
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