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• W2064318420 abstract "THE MITRAL ANNULUS (MA) is the nonplanar, saddle-shaped fibrous ring around the valvular orifice. Along with the posterior left atrial wall, valve leaflets, chordae tendineae cordis, papillary muscles, and left ventricle (LV), it is an integral component of the mitral valve (MV) apparatus. 1 Perloff J.K. Roberts W.C. The mitral apparatus: Functional anatomy of mitral regurgitation. Circulation. 1972; 46: 227-239 Crossref PubMed Scopus (326) Google Scholar During the cardiac cycle, the MA undergoes dynamic changes to ensure optimal left ventricular filling and leaflet coaptation. 2 Ormiston J.A. Shah P.M. Tei C. et al. Size and motion of the mitral valve annulus in man: I. A two-dimensional echocardiographic method and findings in normal subjects. Circulation. 1981; 64: 113-120 Crossref PubMed Scopus (419) Google Scholar , 3 Timek T.A. Miller D.C. Experimental and clinical assessment of mitral annular area and dynamics: What are we actually measuring?. Ann Thorac Surg. 2001; 72: 966-974 Abstract Full Text Full Text PDF PubMed Scopus (75) Google Scholar , 4 Di Mauro M. Gallina S. D’Amico M.A. et al. Italian Group of Study for Heart Valve Disease (Italian Society of Cardiology): Functional mitral regurgitation: From normal to pathological anatomy of mitral valve. Int J Cardiol. 2013; 163: 242-248 Abstract Full Text Full Text PDF PubMed Scopus (29) Google Scholar Three-dimensional (3D) transesophageal echocardiography has furthered understanding of the geometry of the MA. Appreciation of the dynamic saddle shape of the MA has led to improvements in MV repair techniques and annuloplasty ring designs that impart fewer geometric distortions to MA architecture. With repair becoming the preferred intervention for MV disorders, selection of the appropriate annuloplasty prosthesis for repair is a vital clinical decision. Echocardiographic knowledge of the normal MA structure and function is crucial for intraoperative echocardiographic decision making. In this review article, the anatomic structure, function, and echocardiographic evaluation of the MA are described with reference to intraoperative decision making." @default.
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• W2064318420 date "2013-12-01" @default.
• W2064318420 modified "2023-10-16" @default.
• W2064318420 title "Mitral Annulus: An Intraoperative Echocardiographic Perspective" @default.
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• W2064318420 doi "https://doi.org/10.1053/j.jvca.2013.02.008" @default.
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