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2013 Fiscal Year Final Research Report

Calcific Extension Towards the Mitral Valve causes with Non-Rheumatic Mitral Stenosis in Degenerative Aortic Stenosis: Real-Time 3D Transesophageal Echocardiography Study

Research Project

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Project/Area Number 23500574
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical systems
Research InstitutionUniversity of Occupational and Environmental Health, Japan

Principal Investigator

TAKEUCHI Masaaki  産業医科大学, 医学部, 准教授 (30236434)

Co-Investigator(Kenkyū-buntansha) OTSUJI Yutaka  産業医科大学, 医学部, 教授 (30264427)
HARUKI Nobuhiko  産業医科大学, 医学部, 助教 (70469394)
NISHIMURA Yosuke  産業医科大学, 大学病院, 准教授 (50301338)
Project Period (FY) 2011 – 2013
Keywords大動脈弁狭窄症 / 僧帽弁狭窄症 / 3次元心エコー
Research Abstract

The impact of mitral annular calcification on mitral valve (MV) function and the change of flow rate on MV dynamics has not been established in aortic stenosis (AS). 3D transesophageal images of MV were acquired in AS patients and control subjects. Outer and inner border of the mitral annular area (MAA) and mital valve area (MVA) were measured. Stress echocardiography had performed in 10 patients after aortic valve replacement. Inner MAA was significantly smaller in patients with AS compared to control. Maximal anterior and posterior leaflet opening angle and MVA was also significantly smaller. Multivariable analysis revealed that effective MAA and posterior leaflet opening angle were independent predictors for MVA. MVA became larger during stress echocardiography. Its increment was directly correlated to the change in diastolic flow rate.
Conclusion: Although calcific extension to MV in AS patients is associated with significant non-rheumatic mitral stenosis, MVA is flow-dependent.

  • Research Products

    (2 results)

All 2014 2012

All Presentation (2 results)

  • [Presentation] Impact of surgical aortic valve replacement on mitral valve geometry in patients with aortic stenosis2014

    • Author(s)
      Mai Iwataki, Masaaki Takeuchi, Yasushi Nagata, Attsushi Hayashi, Kyoko Otani, Shota Fukuda, Hidetoshi Yoshitani, Yutaka Otsuji
    • Organizer
      第78回日本循環器学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      20140300
  • [Presentation] Calcific extension towards the mitral valve in degenerative aortic stenosis causes non-rheumatic mitral stenosis : Real-time 3D transesophageal echocardiography study2012

    • Author(s)
      Kyoko Otani, Masaaki Takeuchi, Kyoko Kaku, Nobuhiko Haruki, Hidetoshi Yoshitani, Yutaka Otsuji
    • Organizer
      第76回日本循環器学会学術集会
    • Place of Presentation
      福岡
    • Year and Date
      20120300

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Published: 2015-07-16  

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