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Inter-scallop separations of the posterior leaflet of the mitral valve : an important cause of pathological mitral regurgitation in rheumatic heart disease screening

dc.contributor.authorHunter, L. D.en_ZA
dc.contributor.authorMonaghan, M.en_ZA
dc.contributor.authorLloyd, G.en_ZA
dc.contributor.authorPecoraro, A. J. K.en_ZA
dc.contributor.authorDoubell, A. F.en_ZA
dc.contributor.authorHerbst, P. G.en_ZA
dc.date.accessioned2019-09-17T09:30:14Z
dc.date.available2019-09-17T09:30:14Z
dc.date.issued2018
dc.identifier.citationHunter, L. D., et al. 2018. Inter-scallop separations of the posterior leaflet of the mitral valve : an important cause of pathological mitral regurgitation in rheumatic heart disease screening. Echo Research and Practice, 5(2):K29-K34, doi:10.1530/ERP-18-0010
dc.identifier.issn2055-0464 (online)
dc.identifier.otherdoi:10.1530/ERP-18-0010
dc.identifier.urihttp://hdl.handle.net/10019.1/106480
dc.descriptionCITATION: Hunter, L. D., et al. 2018. Inter-scallop separations of the posterior leaflet of the mitral valve : an important cause of pathological mitral regurgitation in rheumatic heart disease screening. Echo Research and Practice, 5(2):K29-K34, doi:10.1530/ERP-18-0010.
dc.descriptionThe original publication is available at https://erp.bioscientifica.com
dc.description.abstractThe 2012 World Heart Federation (WHF) criteria for echocardiographic diagnosis of rheumatic heart disease (RHD) identify that the finding of ‘pathological’ mitral regurgitation (MR) in a screened individual increases the likelihood of detecting underlying RHD. Cases of isolated ‘pathological MR’ are thus identified as ‘borderline RHD’. A large-scale echocardiographic screening program (Echo in Africa) in South Africa has identified that inter-scallop separations of the posterior mitral valve leaflet (PMVL) can give rise to ‘pathological’ MR. The authors propose that this entity in isolation should be identified and excluded from the WHF ‘borderline RHD’ category. In this case report, we present two examples of ‘pathological’ MR related to inter-scallop separation from the Echo in Africa image database. We further provide screening tips for the accurate identification of this entity.en_ZA
dc.description.urihttps://erp.bioscientifica.com/view/journals/echo/5/2/ERP-18-0010.xml
dc.format.extent6 pages
dc.language.isoen_ZAen_ZA
dc.publisherBioScientifica
dc.subjectRheumatic heart diseaseen_ZA
dc.subjectEchocardiographyen_ZA
dc.subjectMitral valveen_ZA
dc.subjectMitral valve -- Diseasesen_ZA
dc.titleInter-scallop separations of the posterior leaflet of the mitral valve : an important cause of pathological mitral regurgitation in rheumatic heart disease screeningen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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