Analysis of the anatomical features of the mitral valve using 2D and 3D echocardiography in OGCPM

Abstract

Anatomy of the mitral valve in HCM has specific features such are systolic anterior motion(SAM)of anterior mitral valve leaflet, leading to LVOT obstruction and the MV insufficiency of varying severity. The article presents brief characteristics of 2D Echocardiography of MV, which is currently not fully satisfy the diagnostic need of cardiac surgery. Using three-dimensional reconstruction of MV helps to examine thoroughly all of its structural and anatomical characteristics, whereby it is established that three-dimensional anatomy of the leaflets of MV differs from the traditional views obtained by two-dimensional echocardiography. A new interpretation of the anatomy of the leaflets, fibrous ring, and the mechanism of SAM of anterior mitral valve leaflet opens up new opportunities for revision of the traditional concept of surgery for HCM with the aim of developing new, original corrective techniques.