{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:25:03Z","timestamp":1740137103224,"version":"3.37.3"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T00:00:00Z","timestamp":1529366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2018,9]]},"abstract":"Background<\/jats:title>The identification of predictors of mitral valve (MV<\/jats:styled-content>) repair results is important for quality improvement in cardiac surgery. The aim of this study was to evaluate the relationship between MV<\/jats:styled-content> morphological quantification by three\u2010dimensional (3D) transesophageal echocardiography and mitral repair results.<\/jats:p><\/jats:sec>Methods<\/jats:title>Fifty\u2010four patients with MV<\/jats:styled-content> prolapse who were submitted to surgical repair were divided into 2 groups according to their postoperative mitral regurgitation (MR<\/jats:styled-content>) degree (group 1, grade 0\u2010I MR<\/jats:styled-content>; group 2, \u2265grade II MR<\/jats:styled-content>). Morphological parameters related to the mitral ring, dimension of leaflets and prolapse, coaptation line, distance from papillary muscles to the leaflet border and valve angles were analyzed by 3D MV<\/jats:styled-content> quantification. Cardiac remodeling and MR<\/jats:styled-content> quantitative parameters were also evaluated.<\/jats:p><\/jats:sec>Results<\/jats:title>There was no correlation between 3D MV<\/jats:styled-content> quantification and surgical results; a multivariate analysis did not show an association between morphological parameters and surgical outcome. The distance from the posteromedial papillary muscle to the leaflet border was higher (P<\/jats:italic>\u00a0=\u00a0.038) in patients with \u2265grade II<\/jats:styled-content> postoperative MR<\/jats:styled-content>. The left atrial diameter, left ventricular end\u2010systolic diameter, left ventricular end\u2010diastolic and end\u2010systolic volumes were larger in patients with a significant residual MR<\/jats:styled-content> (P<\/jats:italic>\u00a0<\u00a0.05).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Three\u2010dimensional MV<\/jats:styled-content> quantification did not predict the postoperative MR<\/jats:styled-content> grade; however, the distance from the posteromedial papillary muscles to the leaflet border may be related to suboptimal repair results. Furthermore, excessive cardiac remodeling was related to postoperative MR<\/jats:styled-content>\u00a0\u2265\u00a0grade II<\/jats:styled-content>, what could suggest a potential benefit of early surgical treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.14048","type":"journal-article","created":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T17:22:39Z","timestamp":1529428959000},"page":"1342-1350","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Relation of mitral valve morphology to surgical repair results in patients with mitral valve prolapse: A three\u2010dimensional transesophageal echocardiography study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3896-3019","authenticated-orcid":false,"given":"Mirian M.","family":"Pardi","sequence":"first","affiliation":[{"name":"Heart Institute University of Sao Paulo Medical School Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo M. A.","family":"Pomerantzeff","sequence":"additional","affiliation":[{"name":"Heart Institute University of Sao Paulo Medical School Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roney Orismar","family":"Sampaio","sequence":"additional","affiliation":[{"name":"Heart Institute University of Sao Paulo Medical School Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria C.","family":"Abduch","sequence":"additional","affiliation":[{"name":"Heart Institute University of Sao Paulo Medical School Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos M. A.","family":"Brand\u00e3o","sequence":"additional","affiliation":[{"name":"Heart Institute University of Sao Paulo Medical School Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Wilson","family":"Mathias","sequence":"additional","affiliation":[{"name":"Heart Institute University of Sao Paulo Medical School Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Grinberg","sequence":"additional","affiliation":[{"name":"Heart Institute University of Sao Paulo Medical School Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavio","family":"Tarasoutchi","sequence":"additional","affiliation":[{"name":"Heart Institute University of Sao Paulo Medical School Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo L. 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