3D TTE Assessment of Mitral Commissural Calcification; Does its Open Scope for more Effective New Scoring?

*Shakil SS
Department Of Cardiology, Mymensingh Medical College Hospital, Mymensingh, Bangladesh

*Corresponding Author:
Shakil SS
Department Of Cardiology, Mymensingh Medical College Hospital, Mymensingh, Bangladesh
Email:shakil721@yahoo.com

Published on: 2021-03-01

Abstract

Rheumatic Mitral valvular disease is characterized by the involvement of their commissures. The intervention of mitral stenosis is directed at the commissures, either Balloon commissurotomy (PTMC) or surgical commissurotomy (OMC or CMC).

Keywords

Mitral Commissural Calcification; Rheumatic Mitral Valvular Disease; TTE; Mitral Valve

Short Communication

Rheumatic Mitral valvular disease is characterized by the involvement of their commissures. The intervention of mitral stenosis is directed at the commissures, either Balloon commissurotomy (PTMC) or surgical commissurotomy (OMC or CMC). So, knowing the pathological and morphological changes that involve the commissures of the Mitral valve is of paramount importance. But interestingly two mainly used scoring systems for PTMC- the Wilkins score and Abascal score did not focus on commissures [1,2]. Those scores are based on valve thickness, valve calcification, sub-valvular changes, and mobility of leaflets. Cannan and his colleagues in 1997 suggested that including the calcification of the commissures could predict the outcome of PTMC better, even if the Abascal score was high in 149 patients undergoing PTMC and having a mean follow-up of 1.8 years [3].

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