Garden-Hose Mitral Regurgitation: A Variant That Can Result in

J. Cardiothorac. Vasc. Anesth. · Jul 2022

Case Reports

Garden-Hose Mitral Regurgitation: A Variant That Can Result in Underestimation of Severity: A Multimodality Imaging Case Study.

The quantitative assessment of mitral regurgitation (MR) by echocardiography has limitations. Cardiac magnetic resonance (CMR) imaging has an emerging role in the quantitation of MR, and preliminary studies indicate that CMR assessment may more accurately quantify MR and better correlate with postsurgical left ventricular reverse remodeling. The authors here report a case of MR in which multimodality imaging with CMR and transesophageal echocardiography was crucial in accurately diagnosing the severity of MR when transthoracic and provocative supine bike echocardiography underestimated the degree of MR in a unique variant known as "garden-hose" MR.

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- Matthew Shotwell, Kesavan Sankaramangalam, Saipriya Potluri, Sudarshan Balla, Natesa G Pandian, and Madhavi Kadiyala.
- WVU Heart and Vascular Institute, Morgantown, WV.
- J. Cardiothorac. Vasc. Anesth. 2022 Jul 1; 36 (7): 2232-2236.
AbstractThe quantitative assessment of mitral regurgitation (MR) by echocardiography has limitations. Cardiac magnetic resonance (CMR) imaging has an emerging role in the quantitation of MR, and preliminary studies indicate that CMR assessment may more accurately quantify MR and better correlate with postsurgical left ventricular reverse remodeling. The authors here report a case of MR in which multimodality imaging with CMR and transesophageal echocardiography was crucial in accurately diagnosing the severity of MR when transthoracic and provocative supine bike echocardiography underestimated the degree of MR in a unique variant known as "garden-hose" MR.Copyright © 2022 Elsevier Inc. All rights reserved.

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Garden-Hose Mitral Regurgitation: A Variant That Can Result in Underestimation of Severity: A Multimodality Imaging Case Study.

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