Role of Imaging Techniques in Percutaneous Treatment of Mitral Regurgitation

Abstract

Mitral regurgitation is the most prevalent valvular heart disease in the United States and the second most prevalent in Europe. Patients with severe mitral regurgitation have a poor prognosis with medical therapy once they become symptomatic or develop signs of significant cardiac dysfunction. However, as many as half of these patients are inoperable because of advanced age, ventricular dysfunction, or other comorbidities. Studies have shown that surgery increases survival in patients with organic mitral regurgitation due to valve prolapse but has no clinical benefit in those with functional mitral regurgitation. In this scenario, percutaneous repair for mitral regurgitation in native valves provides alternative management of valvular heart disease in patients at high surgical risk. Percutaneous repair for mitral regurgitation is a growing field that relies heavily on imaging techniques to diagnose functional anatomy and guide repair procedures.

Keywords: Cardiac computed tomography; Ecocardiografía transesofágica; Insuficiencia mitral; Mitral regurgitation; Mitral repair; Reparación mitral; Tomografía computarizada cardiaca; Transesophageal echocardiography.