PMID- 38288512 OWN - NLM STAT- MEDLINE DCOM- 20240212 LR - 20240313 IS - 1542-474X (Electronic) IS - 1082-720X (Print) IS - 1082-720X (Linking) VI - 29 IP - 1 DP - 2024 Jan TI - Mitral valvuloplasty using real-time three-dimensional transesophageal echocardiography. PG - e13104 LID - 10.1111/anec.13104 [doi] LID - e13104 AB - OBJECTIVE: This study aimed to investigate the structure of the mitral valve in patients undergoing mitral valvuloplasty (MVP) using real-time three-dimensional transesophageal echocardiography (RT-3D-TEE). The main objective was to study the relationship between intraoperative annuloplasty ring size and mitral valve structure dimensions, with a focus on exploring the application value of RT-3D-TEE in MVP. METHODS: A total of 28 patients with degenerative mitral regurgitation (DMR), who underwent MVP between February and September 2022, as well as 12 normal control cases, were enrolled in this study. The MV annulus and leaflets were quantitatively analyzed using MVN software. RESULTS: The DMR group exhibited significantly greater dimensions in various parameters of the mitral valve, including the anterolateral-to-posteromedial diameter (D(AlPm) ), anterior-to-posterior diameter (D(AP) ), annulus height (H(A) ), three-dimensional annulus circumference (C(A3D) ), two-dimensional annulus area (AA(2D) ), anterior leaflet area (A(ant) ), posterior leaflet area (A(post) ), anterior leaflet length (L(ant) ), posterior leaflet length (L(post) ), and tenting volume (V(tent) ) compared to the control group. CONCLUSION: Real-time three-dimensional transesophageal echocardiography provides valuable insights into the morphological structure of the mitral valve and lesion location. It can aid in surgical decision-making, validate the success of MVP, and potentially reduce mortality and complications associated with mitral valve repair procedures. CI - (c) 2024 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. FAU - Shi, Ning-Han AU - Shi NH AD - Shandong First Medical University, Jinan, China. FAU - Zhang, Nan AU - Zhang N AD - Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. FAU - Zhang, Shuo AU - Zhang S AD - Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. FAU - Zhang, Hai-Zhou AU - Zhang HZ AD - Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. FAU - Zou, Cheng-Wei AU - Zou CW AD - Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. FAU - Zhu, Mei AU - Zhu M AUID- ORCID: 0009-0002-8826-4694 AD - Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. LA - eng PT - Journal Article PL - United States TA - Ann Noninvasive Electrocardiol JT - Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc JID - 9607443 SB - IM MH - Humans MH - *Echocardiography, Three-Dimensional/methods MH - *Echocardiography, Transesophageal/methods MH - Electrocardiography MH - Mitral Valve/diagnostic imaging/surgery MH - *Mitral Valve Insufficiency/diagnostic imaging/surgery MH - *Balloon Valvuloplasty PMC - PMC10795079 OTO - NOTNLM OT - annuloplasty ring OT - mitral regurgitation OT - mitral valve structure OT - mitral valvuloplasty OT - real-time three-dimensional transesophageal echocardiography COIS- The authors declare that they have no competing interests. EDAT- 2024/01/30 06:42 MHDA- 2024/01/31 06:42 PMCR- 2024/01/18 CRDT- 2024/01/30 03:54 PHST- 2023/10/08 00:00 [revised] PHST- 2023/04/14 00:00 [received] PHST- 2023/12/22 00:00 [accepted] PHST- 2024/01/31 06:42 [medline] PHST- 2024/01/30 06:42 [pubmed] PHST- 2024/01/30 03:54 [entrez] PHST- 2024/01/18 00:00 [pmc-release] AID - ANEC13104 [pii] AID - 10.1111/anec.13104 [doi] PST - ppublish SO - Ann Noninvasive Electrocardiol. 2024 Jan;29(1):e13104. doi: 10.1111/anec.13104.