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Mitral Insufficiency: Difference between revisions
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==Quantification mitral regurgitation<cite>1</cite>== | ==Quantification mitral regurgitation<cite>1</cite>== | ||
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In the assessment of mitral regurgitation is important also the mechanism of mitral regurgitation study. Carpentier classified the mechanism of regurgitation into three groups: | In the assessment of mitral regurgitation is important also the mechanism of mitral regurgitation study. Carpentier classified the mechanism of regurgitation into three groups: | ||
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|bgcolor="#FFFFFF" align="center" colspan="3"|[[Image:Carpentier1.png|600px]] | |||
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|'''Type I:''' Normal mobility of the leaflets, cleft mitral valve hole in mitral valve endocarditis by | |width="250px" valign="top"|'''Type I:''' Normal mobility of the leaflets, cleft mitral valve hole in mitral valve endocarditis by | ||
functional with annulus dilatation | functional with annulus dilatation | ||
|'''Type II:''' Excessive movement of the leaflets, mitral valve prolapse | |width="250px" valign="top"|'''Type II:''' Excessive movement of the leaflets, mitral valve prolapse | ||
notochord elongation, notochord / papillary muscle rupture | notochord elongation, notochord / papillary muscle rupture | ||
|'''Type III:''' Restrictive mobility of the leaflets, attached the leaflets do not open fully in diastole. Lime in annulus overgrijpend on blade such as hypertension, HCM, AoS. Fusion of commissures as in acute rheumatism, parachute mitral valve. Merger or retraction of subvalvular apparatus. | |width="250px" valign="top"|'''Type III:''' Restrictive mobility of the leaflets, attached the leaflets do not open fully in diastole. Lime in annulus overgrijpend on blade such as hypertension, HCM, AoS. Fusion of commissures as in acute rheumatism, parachute mitral valve. Merger or retraction of subvalvular apparatus. | ||
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|bgcolor="#FFFFFF" align="center"|[[Image:Carpentier2.png|400px]] | |||
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|'''A:''' Normal coaptation and apposition | | | ||
'''A:''' Normal coaptation and apposition | |||
'''B:''' Billowing allowing coaptation point moves towards the bosom, normal apposition | |||
'''C:''' Reduced zone of coaptation by abnormal apposition | |||
'''D:''' Total loss of coaptation with normal apposition<cite>3</cite> | |||
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