Perioperative echocardio graphic imaging of mitral valve incompetence

  • H. Siniawski
  • M. Hübler
  • A. Amiri
  • C.A. Yankah
  • R. Hetzer


The concept of using the echocardiography machine in the operating room fulfills the need for intraoperative diagnosis. Immediately after the completion of a surgical intervention the outcome can be verified and, if the initial results are not optimal, surgical correction may be performed. Examination by stethoscope in the operating room is not sufficient and it was discovered that patients were doing poorly after closed commissurotomy if a systolic murmur was present, whereas those without a systolic murmur did not suffer from hemodynamic problems and had satisfactory outcomes. Persistent mitral regurgitation after commissurotomy was recognized as a significant clinical problem that needs to be avoided. This fact probably triggered the surgeons’ desire for a precise intraoperative diagnostic method, and the requirements of such a method caused them to fix on echocardiography as the ideal tool for this function.


Mitral Valve Mitral Regurgitation Right Ventricle Papillary Muscle Mitral Valve Replacement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • H. Siniawski
    • 1
  • M. Hübler
    • 2
  • A. Amiri
    • 2
  • C.A. Yankah
    • 3
  • R. Hetzer
    • 1
  1. 1.Deutsches Herzzentrum BerlinCharité Medical University BerlinBerlinGermany
  2. 2.Department of Cardiothoracic and Vascular SurgeryDeutsches Herzzentrum BerlinBerlinGermany
  3. 3.Consultant Cardiothoracic & Vascular Surgeon Deutsches Herzzentrum BerlinCharité Medical University BerlinBerlinGermany

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