Περίληψη:
Mitral valve (MV) prolapse (MVP) is a not fully understood common MV
disorder. The development of sophisticated cardiovascular magnetic
resonance imaging (CMRI) sequences over the last decades has allowed a
more detailed assessment and provided better understanding of the
pathophysiology of MVP to guide management, interventions, and risk
stratification of patients affected. This review provides an overview of
the most recent insights about this multifaceted pathology, particularly
regarding the emerging concepts of mitral annular disjunction (MAD), and
risk of arrhythmia and sudden death associated with myocardial fibrosis.
We describe the emerging role of CMRI in both diagnosis and, more
importantly, risk assessment of this disease, aiming to provide a
comprehensive protocol for the assessment of MVP, which could represent
a practical guide to clinicians and MRI practitioners working in the
field. (c) 2021 The Royal College of Radiologists. Published by Elsevier
Ltd. All rights reserved.
Συγγραφείς:
Musella, F.
Azzu, A.
Antonopoulos, A. S.
La Mura, L. and
Mohiaddin, R. H.