TEE Time Episode 10: Evaluating Mitral Regurgitation (MR) for Valve Surgery

In Episode 10 of TEE Time, Dr. Andreas Plackis delves into the evaluation of mitral regurgitation (MR) in the context of mitral valve surgery using transesophageal echocardiography (TEE). The episode covers the critical steps and parameters for assessing the mitral valve, distinguishing between primary and secondary MR, and the implications of symptomatology in determining the need for surgical intervention. Dr. Plackis highlights the importance of clinical information, echocardiographic techniques, and guidelines from the 2020 ACC/AHA management algorithms to inform treatment pathways. Key topics include the six-step structure for assessing valvular regurgitation, Carpentier classification, and the impact of left atrial and ventricular conditions on MR severity. The episode concludes with a preview of the next topic, which will focus on evaluating mitral stenosis.

00:00  Introduction to Evaluating Mitral Regurgitation

00:42  Clinical Questions and Focus

01:47  Differentiating Primary vs. Secondary MR

03:06  Evaluating Severe Chronic Primary MR

04:15  Approach to Severe Chronic Secondary MR

05:21  Six-Step Structure for Valve Evaluation

06:58  2D Echocardiography for MR Assessment

14:43  Doppler Echocardiography Techniques

17:29  Quantitative Measures and 3D Echocardiography

19:54  Final Steps and Other Cardiac Data

21:05  Conclusion and Key Points

21:59  Outro

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