This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Gilbert, B. W. Articles by Kisslo, J. A. Search for Related Content PubMed PubMed Citation Articles by Gilbert, B. W. Articles by Kisslo, J. A.

Circulation, Vol 54, 716-723, Copyright © 1976 by American Heart Association

ARTICLES

Mitral valve prolapse. Two-dimensional echocardiographic and angiographic correlation

BW Gilbert, RA Schatz, OT VonRamm, VS Behar and JA Kisslo

In order to define baseline descriptive criteria for the diagnosis of mitral valve prolapse with cross-sectional echocardiography, 49 patients undergoing catheterization were examined by a real-time, two- dimensional phased array echocardiographic imaging system. Angiography was used to separate patients into two distinct groups: 15 with normal mitral valve function and 34 with definite mitral valve prolapse. Systolic mitral leaflet and annulus motion were then observed in each patient and similarities and differences were noted between the two groups of patients. Correlative M-mode echocardiographic data were available in 37 patients. Certain two-dimensional echocardiographic findings restricted to the angiographically proven mitral valve prolapse group were defined: 1) posteriorly displaced coaptation of the leaflets, 2) systolic superior movement of one or both mitral leaflets above the level of the mitral ring, and 3) a systolic curling motion of the posterior mitral ring on its adjacent myocardium. One or more of these abnormalities were found in all 34 patients with angiographic mitral valve prolapse. When mitral valve prolapse does occur, the results of two-dimensional echocardiography would suggest that both leaflets are usually involved.

This article has been cited by other articles:

				S Y Ho Anatomy of the mitral valve Heart, November 1, 2002; 88(90004): iv5 - 10. [Full Text] [PDF]

				L. A. Freed, E. J. Benjamin, D. Levy, M. G. Larson, J. C. Evans, D. L. Fuller, B. Lehman, and R. A. Levine Mitral valve prolapse in the general population: the benign nature of echocardiographic features in the Framingham Heart Study J. Am. Coll. Cardiol., October 2, 2002; 40(7): 1298 - 1304. [Abstract] [Full Text] [PDF]

				R. Anan, M. Nakagawa, M. Miyata, I. Higuchi, S. Nakao, M. Suehara, M. Osame, and H. Tanaka Cardiac Involvement in Mitochondrial Diseases : A Study on 17 Patients With Documented Mitochondrial DNA Defects Circulation, February 15, 1995; 91(4): 955 - 961. [Abstract] [Full Text]

				P. Herman Migraine and Mitral Valve Prolapse Arch Neurol, November 1, 1989; 46(11): 1165 - 1165. [Abstract] [PDF]

				R. B. Devereux, R. Kramer-Fox, and P. Kligfield Mitral Valve Prolapse: Causes, Clinical Manifestations, and Management Ann Intern Med, August 15, 1989; 111(4): 305 - 317. [Abstract] [PDF]

				E. L. Kinney and R. J. Wright II Can the Parasternal Long Axis Plane Replace the Apical Four-Chamber Plane in Diagnosing Mitral Valve Prolapse? Angiology, February 1, 1989; 40(2): 101 - 107. [Abstract] [PDF]

				G. L. Johnson, L. L. Humphries, P. B. Shirley, A. Mazzoleni, and J. A. Noonan Mitral Valve Prolapse in Patients With Anorexia Nervosa and Bulimia Arch Intern Med, August 1, 1986; 146(8): 1525 - 1529. [Abstract] [PDF]

				S. M. Retchin, R. H. Fletcher, J. Earp, N. Lamson, and R. A. Waugh Mitral Valve Prolapse: Disease or Illness? Arch Intern Med, June 1, 1986; 146(6): 1081 - 1084. [Abstract] [PDF]

				R. L. POPP, D. S. RUBENSON, C. R. TUCKER, and J. W. FRENCH Echocardiography: M-Mode and Two-Dimensional Methods Ann Intern Med, December 1, 1980; 93(6): 844 - 856. [Abstract] [PDF]

				N. G. Kounis Mitral Valve Prolapse: Whiplike Motion of the Posterior Mitral Leaflet Detected by Two-Dimensional Echocardiography Angiology, March 1, 1980; 31(3): 198 - 209. [Abstract] [PDF]

				W. R. Jacobs, J. V. Talano, and L. Stephanides Palpitations and Late Systolic Murmur in a Young Man Arch Intern Med, July 1, 1977; 137(7): 911 - 913. [Abstract] [PDF]