A Mitral merece atenção

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http://ehjcimaging.oxfordjournals.org/content/16/3/290

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Artigo interessante demais.

Leaflet remodelling in functional mitral valve regurgitation: characteristics, determinants, and relation to regurgitation severity

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Patients with FMR had significantly larger annular diameters and area compared with controls. The presence of leaflet remodelling was identified in both FMR groups showing larger overall leaflet area compared with controls.

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Existe um remodelamento que acompanha as alterações ventriculares e do anel.

Isso explica por que dilatações semelhantes geram refluxos de grau diferenciado.

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Não importa só a causa do refluxo mas também a adaptação ao defeito.

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