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Three-Dimensional Echocardiographic Assessment of Mitral Annular Physiology in Patients With Degenerative Mitral Valve Regurgitation Undergoing Surgical Repair: Comparison between Early- and Late-Stage Severe Mitral Regurgitation

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A RM quer ser padrão ouro calculando refluxo Mitral por Simpson.

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Acontece que o padrão ouro para volume ventricular é o ECHO 3D, não o cateterismo.

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Encerrando o assunto volume do VE, vale a pena avançar para a morfologia do anel ao ecocardiograma tridimensional.

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https://www.sciencedirect.com/science/article/pii/S089473171830378X

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Ventricular-annular decoupling is thought to exist in all degenerative severe MR.

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Mitral annular saddle shape was compared between early- and late-stage severe MR.

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Ventricular-annular decoupling seen in late-severe MR is absent in early-stage MR.

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Surgery in early-stage severe MR preserves mitral annular function.

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3D TEE provides full mitral annular evaluation which is beyond 2D parameters.