title: Ischemic mitral valve regurgitation: the new challenge for magnetic resonance imaging.
abstract: Ischemic mitral valve regurgitation (IMVR) refers to mitral regurgitation in patients with ischemic heart disease (IHD) in the presence of a structurally normal mitral valve. IMVR contributes significantly to morbidity and mortality in patients with IHD. The thresholds for clinical management, surgical intervention, and the choice of surgical procedure continue to evolve and independent determinants for surgical success in the pre- and post-operative evaluation of IMVR are still controversial. Although echocardiography has been valued as the gold standard in the evaluation of IMVR, new technologies such as magnetic resonance imaging (MRI) may be seen as applicable to the investigation of this complex pathology. MRI may allow for detection of parameters that could help clinicians and surgeons to better assess IMVR and eventually guide appropriate treatment whenever necessary. The present article discusses the main parameters that should be routinely investigated while adopting MRI technology to assess patients with IMVR. The review is the result of a multidisciplinary approach to this complex etiopathogenic entity and involves expertise spanning from radiology, cardiology, to cardiac surgery.
authors.affiliation: Department of CT Surgery, ISMETT at University of Pittsburgh Medical Center, Palermo, Italy. gdancona@ismett.edu
authors.forename: Giuseppe
authors.initials: G
authors.lastname: D'Ancona
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Mamone
authors.forename: Gianluca
authors.initials: G
authors.lastname: Marrone
authors.forename: Francesco
authors.initials: F
authors.lastname: Pirone
authors.forename: Gianluca
authors.initials: G
authors.lastname: Santise
authors.forename: Sergio
authors.initials: S
authors.lastname: Sciacca
authors.forename: Michele
authors.initials: M
authors.lastname: Pilato
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods* / Q000592:standards; D008944:Mitral Valve Insufficiency / Q000175:diagnosis* / Q000601:surgery; D017202:Myocardial Ischemia / Q000503:physiopathology / Q000601:surgery*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000639:trends