Samenvatting
Evaluatie van mitralisklepafwijkingen behoort tot de dagelijkse routine in ieder echocardiografisch laboratorium. Het mitralisklepapparaat is een complexe structuur bestaande uit annulus, klepbladen, chordae en papillairspieren, terwijl ook het linker atrium en de linker ventrikel invloed hebben op de mitralisklepfunctie. De anatomie en de afwijkingen van het mitralisklepapparaat worden in dit hoofdstuk besproken. De echocardiografische evaluatie van de mitralisklep bij mitralisinsufficiëntie (MI) komt uitgebreid aan bod, waarbij er aandacht is voor het in kaart brengen van anatomische afwijkingen, het mechanisme van MI en het bepalen van de ernst van MI. De gevolgen van MI voor het hart worden toegelicht en de indicaties voor percutane en chirurgische interventies worden besproken. Mitralisstenose (MS) komt minder vaak voor dan MI. Ook MS wordt in dit hoofdstuk besproken, met aandacht voor de echocardiografische analyse van anatomische afwijkingen, het bepalen van de ernst van de stenose en de rol van echocardiografie bij chirurgische en percutane interventies.
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Peels, C., Pieper, P. (2015). De mitralisklep . In: Hamer, J., Pieper, P. (eds) Praktische echocardiografie. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-0752-4_12
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DOI: https://doi.org/10.1007/978-90-368-0752-4_12
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