>Table 2
Unfavourable TTE characteristics for mitral valve repair in functional mitral regurgitation11
Mitral valve deformation
Coaptation distance ≥1 cm
Tenting area >2.5–3 cm2
Complex jets
Posterolateral angle >45°
Local LV remodelling
Interpapillary muscle distance >20 mm
Posterior papillary-fibrosa distance >40 mm
Lateral wall motion abnormality
Global LV remodelling
EDD > 65 mm, ESD > 51 mm (ESV > 140 mL)
Systolic sphericity index >0.7
EDD, end-diastolic diameter; ESD, end-systolic diameter; ESV, end-systolic volume; LV, left ventricle.
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Agora sim, deram ao ecocardiograma a devida importância na decisão de trocar ou reparar a valva.
Essa escolha não deve ser feita na sala de cirurgia.
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