Relationship between Degree of Mitral Protrusion Assessed by Use of B-Mode Echocardiography and Degree of Mitral Regurgitation Using an Experimental Model in Dogs

Journal of Veterinary Medical Science

Mitsugi TAKAHASHI¹  Masami UECHI¹  Toshiaki KAGEYAMA¹  Tomohiro NAKAYAMA¹  Makoto MUTO¹  Yoshito WAKAO¹ 

[1] Department of Veterinary Surgery, School of Veterinary Medicine, Azabu University

关键词: B-mode echocardiography;    canine;    mitral regurgitation;    mitral valve prolapse;   

DOI  :  10.1292/jvms.59.551

学科分类：兽医学

来源: Japanese Society of Veterinary Science

【 摘 要 】

References(12)We studied the relationship between the degree of mitral protrusion and degree of mitral regurgitation in an experimental model in which the degree of mitral protrusion could be adjusted. The model was developed by dissecting the dorsal papillary muscle through a left atriotomy in 5 dogs and re-attaching the papillary muscle to the original site using a single mattress suture threading through the epicardium under cardiopulmonary bypass. By manipulating the suture from a position outside the epicardium, the degree of mitral protrusion could be adjusted. The long-axis view of the mitral valve was imaged by B-mode echocardiography with the transducer placed directly over the surface of the right ventricular outflow tract. The height (H) from the coaptation point or tip of the protruded cusp in relation to the mitral annular plane was measured as an index of mitral protrusion. Mitral regurgitation as a result of the mitral protrusion decreased the left ventricular systolic pressure, and increased the heart rate, mean left atrial pressure (LAPm), and ratio of left ventricular end-diastolic dimension to body weight (LVEDD/BW). H was negatively correlated to LAPm and LVEDD/BW (r= -0.723 and -0.697, respectively). Our results indicated that H expresses not only the degree of mitral protrusion but also the degree of mitral regurgitation, and were in agreement with the previous findings obtained on dogs with spontaneous mitral regurgitation.

【 授权许可】

Unknown