Korean Circ J. 1989 Mar;19(1):41-46. Korean.
Published online Mar 31, 1989.
https://doi.org/10.4070/kcj.1989.19.1.41
Published online Mar 31, 1989.
https://doi.org/10.4070/kcj.1989.19.1.41
Copyright © 1989 The Korean Society of Circulation
Original Article
Reverse Doming of Anterior Mitral Leaflet in Aortic Regurgitation
Young Lan Yang, M.D.,
Tae Won Jang, M.D.,
Bong Jun Ha, M.D.,
Bo Won Suh, M.D.,
Sung Gae Lee, M.D.,
Dong Sun Han, M.D.,
Man Hong Jung, M.D.
and Jae Woo Lee, M.D.
Abstract
In 40 patients with aortic regurgitation(AR), the incidence of reverse doming of anterior mitral leaflet was studied by 2-D echocardiography. Reverse doming could be indentified in 17 of 18 patients(94.4%)with severe AR, in 6 of 15 patients(14.3%)with mild AR. And in relation to the direction of regurgitant jet, reverse doming was noticed in 9 of 11 patients(82%) toward the center of left ventricular cavity.
In conclusion, the appearance of reverse doming of anterior mitral leaflet is thought to be related to the degree of AR and the direction of regurgitant jet. And reverse doming by 2-D echocardiography is a helpful parameter for the diagnosis of moderate to severe AR.
Keywords
Reverse doming; Anterior mitral leaflet; Aortic regurgitation
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