二尖瓣病理生理学.pptVIP

MR: Carpentier classification Excessive leaflet motion (prolapse) Chordal / papillary muscle elongation or rupture * MR: Carpentier classification Restricted leaflet / chordal motion e.g. fibrosis, calcification, retraction * MR: Aetiology Mitral Annulus Myxomatous degeneration Senile calcification Functional dilatation (e.g. myocarditis) Ring abscess Marfan’s * MR: Aetiology Mitral leaflets Rheumatic disease, endocarditis (1-30%) Unknown why some develop MS, others MR Fibrocalcific leaflet thickening (without fusion) Chordae shortened, annulus dilated also: congenital, connective tissue dis