The Subvalvular Apparatus in Rheumatic Mitral Stenosis: Methods of Assessment and Therapeutic Implications

Yoav Turgeman, Shaul Atar, Tiberio Rosenfeld

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

The assessment of the structure and function of the subvalvular apparatus (SVA) in patients with rheumatic mitral stenosis (MS) is complex, yet is of major importance prior to therapeutic decision making. Currently available methods of assessment are neither sufficiently accurate nor feasible. We review anatomic and functional aspects of the SVA and define SVA involvement in rheumatic MS. The role of various noninvasive and invasive methods for evaluating the integrity and function of SVA in rheumatic MS, as well as clinical implications and pitfalls in assessment of SVA are also discussed.

Original languageEnglish
Pages (from-to)1929-1936
Number of pages8
JournalChest
Volume124
Issue number5
DOIs
StatePublished - Nov 2003
Externally publishedYes

Keywords

  • Chordae tendineae
  • Mitral stenosis
  • Rheumatic
  • Subvalvar

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