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Eur J Cardiothorac Surg 2007;32:475-480. doi:10.1016/j.ejcts.2007.06.023
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Reviews

Ischemic mitral valve regurgitation: the new challenge for magnetic resonance imaging

^a Department of CT Surgery, ISMETT@ University of Pittsburgh Medical Center, Palermo, Italy
^b Department of Radiology, ISMETT@ University of Pittsburgh Medical Center, Palermo, Italy

Received 27 February 2007; received in revised form 11 June 2007; accepted 11 June 2007.

^_* Corresponding author. Address: Department of CT Surgery, ISMETT—Mediterranean Institute for Transplantation and Advanced Specialized Therapies and University of Pittsburgh Medical Center, Via Tricomi 1, 90127 Palermo, Italy. Tel.: +39 0912192111; fax: +39 0912192354. (Email: gdancona{at}ismett.edu).

Ischemic mitral valve regurgitation (IMVR) refers to mitral regurgitation in patients with ischemic heart disease (IHD) in the presence of a structurally normal mitral valve. IMVR contributes significantly to morbidity and mortality in patients with IHD. The thresholds for clinical management, surgical intervention, and the choice of surgical procedure continue to evolve and independent determinants for surgical success in the pre- and post-operative evaluation of IMVR are still controversial. Although echocardiography has been valued as the gold standard in the evaluation of IMVR, new technologies such as magnetic resonance imaging (MRI) may be seen as applicable to the investigation of this complex pathology. MRI may allow for detection of parameters that could help clinicians and surgeons to better assess IMVR and eventually guide appropriate treatment whenever necessary. The present article discusses the main parameters that should be routinely investigated while adopting MRI technology to assess patients with IMVR. The review is the result of a multidisciplinary approach to this complex etiopathogenic entity and involves expertise spanning from radiology, cardiology, to cardiac surgery.

Key Words: Ischemic • Mitral • Regurgitation • MRI

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				G. D'Ancona, D. Biondo, G. Mamone, G. Marrone, F. Pirone, G. Santise, S. Sciacca, and M. Pilato Ischemic mitral valve regurgitation in patients with depressed ventricular function: cardiac geometrical and myocardial perfusion evaluation with magnetic resonance imaging Eur. J. Cardiothorac. Surg., November 1, 2008; 34(5): 964 - 968. [Abstract] [Full Text] [PDF]