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October 21, 2024Journal of Thoracic and Cardiovascular Surgery2 citationsOpen Access

Effects of mitral calcification in severe aortic stenosis with severe mitral regurgitation on left heart remodeling, surgical strategy, and outcomes

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ASAbigail SnyderMIMonica IsabellaLRLeonardo Rodríguez

Key Result

Greater mitral calcium volume is associated with more extensive mitral valve intervention but not with long-term mortality in patients with severe aortic stenosis.

Structured PICO

Does mitral calcium volume impact surgical strategy and outcomes in patients with severe aortic stenosis and severe mitral regurgitation?

P
Population
Patients with severe aortic stenosis and severe mitral regurgitation
I
Intervention
Quantitative analysis of mitral calcification with CT
O
Outcome
Left heart remodeling, surgical strategy, and long-term mortality

Quantitative CT analysis of mitral calcification can aid surgical management decisions in patients with severe AS and severe MR, as greater calcification predicts more extensive intervention but not long-term mortality.

Abstract

Greater mitral calcium volume is a marker of late-stage cardiac remodeling associated with more extensive mitral valve intervention but not with long-term mortality. Quantitative analysis of mitral calcification with CT can aid patient selection and surgical management decisions in this complex patient population.

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Cite This Study

Snyder et al. (2024) studied this question. Greater mitral calcium volume is associated with more extensive mitral valve intervention but not with long-term mortality in patients with severe aortic stenosis.

synapsesocial.com/papers/6967d5a7d99d0c500c652363https://doi.org/10.1016/j.jtcvs.2024.10.022
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