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Mitral commissural prolapse
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  • EVA PAPADIMITRAKI,
  • Alexandros Patrianakos,
  • Antonis Pitsis,
  • Maria Marketou,
  • Aggeliki Zacharaki,
  • Fragiskos Parthenakis
EVA PAPADIMITRAKI
University General Hospital of Heraklion Medical Service
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Alexandros Patrianakos
HERAKLION UNIVERSITY HOSPITAL
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Antonis Pitsis
St.Luke's Hospital
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Maria Marketou
HERAKLION UNIVERSITY HOSPITAL
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Aggeliki Zacharaki
University General Hospital of Heraklion Medical Service
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Fragiskos Parthenakis
University General Hospital of Heraklion Medical Service
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Abstract

Mitral commissural prolapse or flail, either isolated or combined with more extensive degenerative valve disease imposes several challenges both on its diagnosis and management whilst being a risk factor for valve reoperation after mitral valve repair. Accurate identification of the prolapsing segment is often not feasible with transthoracic 2D echocardiography, with transesophageal 3D imaging then required for correct diagnosis and surgical planning. Various surgical techniques employed alone or in combination, have yielded good results in the repair of commissural prolapse. Herein, we analyze the specific characteristics of commissural disease focusing our attention on 2D and 3D echocardiographic findings and we briefly comment on techniques employed for surgical correction of the disease.

Peer review status:ACCEPTED

17 Nov 2020Submitted to Echocardiography
28 Nov 2020Assigned to Editor
28 Nov 2020Submission Checks Completed
28 Nov 2020Reviewer(s) Assigned
23 Dec 2020Review(s) Completed, Editorial Evaluation Pending
11 Jan 2021Editorial Decision: Accept