[Angiographic diagnosis of lesions of the mitral valve and its appendages]
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Updated: Feb 9, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Insights
This study analyzed mitral valve changes in various heart conditions using left ventriculography. Most diseases, except ventricular septal defect, showed mitral valve abnormalities like stenosis and prolapse.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- The mitral valve is crucial for heart function.
- Various cardiac conditions can affect mitral valve morphology and function.
Purpose of the Study:
- To analyze morphological and functional changes of the mitral valve in diverse heart diseases.
- To discuss mitral regurgitation and mitral valve prolapse in detail.
Main Methods:
- Analysis of 68 cases with 76 left ventriculographies.
- Dynamic study using cineradiographic technique.
Main Results:
- Rheumatic mitral valvular disease, cardiomyopathy, septal defects, coronary heart disease, and mitral valve prolapse were studied.
- All conditions except ventricular septal defect exhibited mitral valve abnormalities (stenosis, insufficiency, deformity, prolapse, etc.).
- Mitral regurgitation and mitral valve prolapse showed specific manifestations and grading.
Conclusions:
- Left ventriculography is effective in assessing mitral valve changes in various cardiac conditions.
- Mitral valve abnormalities are common in many heart diseases, impacting valve function.
Abstract:
68 cases with 76 left ventriculographies, including rheumatic mitral valvular disease, congestive and hypertrophic types of cardiomyopathy, endocardial cushion defect, atrial and ventricular septal defects, coronary heart disease and mitral valve prolapse were analyzed with respect to the morphological and functional changes of the mitral valve and its appendages. Dynamic study with cineradiographic technic was the chief method used in this investigation. Except for ventricular septal defect, all the above-mentioned disease entities showed one or several of the changes of the mitral valvular apparatus including stenosis, insufficiency, displacement, cleft, deformity, prolapse and functional disorder. Regurgitation associated with mitral insufficiency exhibiting specific manifestations in different conditions was analyzed and its method of grading discussed. Mitral valve prolapse with its suggested method grading and functional disorder of the mitral valve were also discussed in detail.
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Heart Valves
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...

