A Review of the Use of Cardiac Computed Tomography for Evaluating the Mitral Valve before and after Mitral Valve Repair

Korean J Radiol. 2017 Sep-Oct;18(5):773-785. doi: 10.3348/kjr.2017.18.5.773. Epub 2017 Jul 17.

Abstract

The role of cardiac computed tomography (CT) for evaluating the mitral valve (MV) has been limited since echocardiography is the main method of evaluation. However, recent advances in cardiac CT have enable detailed evaluation of the anatomy and geometry of the MV. We describe assessments of the anatomy and coaptation geometric parameters of normal MVs, and also review repair of diseased/damaged MV. We also discuss pre- and post-surgical imaging of MV pathology using cardiac CT and various CT images. We found that cardiac CT could be used as an alternative imaging modality to echocardiography for pre-operative MV evaluation and to predict clinical outcomes following repair.

Keywords: CT; Cardiac computed tomography; Cardiac valve; Mitral regurgitation; Mitral valve; Mitral valve regurgitation; Mitral valve repair.

Publication types

  • Review

MeSH terms

  • Echocardiography
  • Heart Valve Diseases / diagnostic imaging*
  • Heart Valve Diseases / surgery
  • Humans
  • Mitral Valve / anatomy & histology
  • Mitral Valve / diagnostic imaging*
  • Tomography, X-Ray Computed