Identification and quantification of prosthetic mitral regurgitation by flow convergence method using transthoracic approach
2009

Using the PISA Method to Identify Mitral Regurgitation

publication Evidence: moderate

Author Information

Author(s): Arques Stephane, Leonnet Caroline, Roux Emmanuel, Avierinos Jean-François

Primary Institution: Aubagne Hospital, Aubagne, France

Hypothesis

The PISA method can effectively identify and assess paravalvular prosthetic mitral regurgitation using transthoracic echocardiography.

Conclusion

The PISA method is a useful tool for identifying and quantifying paravalvular prosthetic mitral regurgitation.

Supporting Evidence

  • The PISA method is reliable for assessing native mitral regurgitation.
  • The study highlights the under-recognition of PISA's applicability in prosthetic mitral regurgitation.
  • Transthoracic echocardiography can provide useful quantitative assessments of paravalvular leaks.

Takeaway

Doctors can use a special method called PISA to see if there's a problem with a heart valve that was replaced. This helps them understand how serious the problem is.

Methodology

The study used transthoracic Doppler echocardiography to assess prosthetic mitral regurgitation.

Limitations

The patient refused transesophageal echocardiography, which limited further assessment.

Participant Demographics

The case report involved a 61-year-old male patient with a history of mitral valve replacement.

Statistical Information

P-Value

p<0.0001

Confidence Interval

[0.82–0.99]

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1186/1476-7120-7-7

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