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Cardiac Valve Regurgitant Jet Direction

MedGen UID:
927365
•Concept ID:
C4289833
•
Finding

Definition

The anatomic trajectory of the retrograde blood flow from a cardiac valve. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCardiac Valve Regurgitant Jet Direction

Recent clinical studies

Etiology

Prevalence and Outcomes of Patients With Discordant High-Gradient Aortic Stenosis.
Unger P, Powers A, Le Nezet E, Lacasse-Rioux E, Galloo X, Clavel MA
J Am Coll Cardiol 2024 Mar 26;83(12):1109-1119. doi: 10.1016/j.jacc.2024.01.025. PMID: 38508842
1-Year Outcomes of Transcatheter Edge-to-Edge Repair in Anatomically Complex Degenerative Mitral Regurgitation Patients.
Smith RL, Lim DS, Gillam LD, Zahr F, Chadderdon S, Rassi AN, Makkar R, Goldman S, Rudolph V, Hermiller J, Kipperman RM, Dhoble A, Smalling R, Latib A, Kodali SK, Lazkani M, Choo J, Lurz P, O'Neill WW, Laham R, Rodés-Cabau J, Kar S, Schofer N, Whisenant B, Inglessis-Azuaje I, Baldus S, Kapadia S, Szerlip M, Kliger C, Boone R, Webb JG, Williams MR, von Bardeleben RS, Ruf TF, Guerrero M, Eleid M, McCabe JM, Davidson C, Hiesinger W, Kaneko T, Shah PB, Yadav P, Koulogiannis K, Marcoff L, Hausleiter J; CLASP IID Pivotal Trial Investigators
JACC Cardiovasc Interv 2023 Dec 11;16(23):2820-2832. Epub 2023 Oct 24 doi: 10.1016/j.jcin.2023.10.020. PMID: 37905772
Impaction of regurgitation jet on anterior mitral leaflet is associated with diastolic dysfunction in patients with bicuspid aortic valve and mild insufficiency: a cardiovascular magnetic resonance study.
Galea N, Pambianchi G, Cundari G, Sturla F, Marchitelli L, Putotto C, Versacci P, De Paulis R, Francone M, Catalano C
Int J Cardiovasc Imaging 2022 Jan;38(1):211-221. Epub 2021 Aug 26 doi: 10.1007/s10554-021-02384-z. PMID: 34448067Free PMC Article
Mitral Valve Cleft-like Indentations in Hypertrophic Obstructive Cardiomyopathy: Insights From Intraoperative Three-Dimensional Transesophageal Echocardiography.
Ye Z, Smith MM, Jouni H, Geske JB, Carney SA, Urina-Jassir M, Schaff HV, Enriquez-Sarano M, Michelena HI
J Cardiothorac Vasc Anesth 2022 Feb;36(2):429-436. Epub 2021 May 25 doi: 10.1053/j.jvca.2021.05.044. PMID: 34176680
Accuracy of Jet Direction on Doppler Echocardiography in Identifying the Etiology of Mitral Regurgitation in Obstructive Hypertrophic Cardiomyopathy.
Hang D, Schaff HV, Nishimura RA, Lahr BD, Abel MD, Dearani JA, Ommen SR
J Am Soc Echocardiogr 2019 Mar;32(3):333-340. Epub 2018 Dec 28 doi: 10.1016/j.echo.2018.10.011. PMID: 30598365

Diagnosis

Prevalence and Outcomes of Patients With Discordant High-Gradient Aortic Stenosis.
Unger P, Powers A, Le Nezet E, Lacasse-Rioux E, Galloo X, Clavel MA
J Am Coll Cardiol 2024 Mar 26;83(12):1109-1119. doi: 10.1016/j.jacc.2024.01.025. PMID: 38508842
Impaction of regurgitation jet on anterior mitral leaflet is associated with diastolic dysfunction in patients with bicuspid aortic valve and mild insufficiency: a cardiovascular magnetic resonance study.
Galea N, Pambianchi G, Cundari G, Sturla F, Marchitelli L, Putotto C, Versacci P, De Paulis R, Francone M, Catalano C
Int J Cardiovasc Imaging 2022 Jan;38(1):211-221. Epub 2021 Aug 26 doi: 10.1007/s10554-021-02384-z. PMID: 34448067Free PMC Article
Mitral valve and papillary muscle abnormalities in hypertrophic obstructive cardiomyopathy.
Teo EP, Teoh JG, Hung J
Curr Opin Cardiol 2015 Sep;30(5):475-82. doi: 10.1097/HCO.0000000000000200. PMID: 26192489
Pitfalls in the color Doppler diagnosis of valvular regurgitation.
Ebrahimi R, Gardin JM
Echocardiography 1993 Mar;10(2):193-202. doi: 10.1111/j.1540-8175.1993.tb00030.x. PMID: 10148404
Evaluation of mitral leaflet motion by echocardiography and jet direction by Doppler color flow mapping to determine the mechanisms of mitral regurgitation.
Stewart WJ, Currie PJ, Salcedo EE, Klein AL, Marwick T, Agler DA, Homa D, Cosgrove DM
J Am Coll Cardiol 1992 Nov 15;20(6):1353-61. doi: 10.1016/0735-1097(92)90248-l. PMID: 1430686

Therapy

1-Year Outcomes of Transcatheter Edge-to-Edge Repair in Anatomically Complex Degenerative Mitral Regurgitation Patients.
Smith RL, Lim DS, Gillam LD, Zahr F, Chadderdon S, Rassi AN, Makkar R, Goldman S, Rudolph V, Hermiller J, Kipperman RM, Dhoble A, Smalling R, Latib A, Kodali SK, Lazkani M, Choo J, Lurz P, O'Neill WW, Laham R, Rodés-Cabau J, Kar S, Schofer N, Whisenant B, Inglessis-Azuaje I, Baldus S, Kapadia S, Szerlip M, Kliger C, Boone R, Webb JG, Williams MR, von Bardeleben RS, Ruf TF, Guerrero M, Eleid M, McCabe JM, Davidson C, Hiesinger W, Kaneko T, Shah PB, Yadav P, Koulogiannis K, Marcoff L, Hausleiter J; CLASP IID Pivotal Trial Investigators
JACC Cardiovasc Interv 2023 Dec 11;16(23):2820-2832. Epub 2023 Oct 24 doi: 10.1016/j.jcin.2023.10.020. PMID: 37905772
Mitral Valve Cleft-like Indentations in Hypertrophic Obstructive Cardiomyopathy: Insights From Intraoperative Three-Dimensional Transesophageal Echocardiography.
Ye Z, Smith MM, Jouni H, Geske JB, Carney SA, Urina-Jassir M, Schaff HV, Enriquez-Sarano M, Michelena HI
J Cardiothorac Vasc Anesth 2022 Feb;36(2):429-436. Epub 2021 May 25 doi: 10.1053/j.jvca.2021.05.044. PMID: 34176680
Characterization and quantification of dynamic eccentric regurgitation of the left atrioventricular valve after atrioventricular septal defect correction with 4D Flow cardiovascular magnetic resonance and retrospective valve tracking.
Calkoen EE, Westenberg JJ, Kroft LJ, Blom NA, Hazekamp MG, Rijlaarsdam ME, Jongbloed MR, de Roos A, Roest AA
J Cardiovasc Magn Reson 2015 Feb 19;17(1):18. doi: 10.1186/s12968-015-0122-4. PMID: 25827288Free PMC Article
Comparison of two- and three-dimensional transthoracic echocardiography to cardiac magnetic resonance imaging for assessment of paravalvular regurgitation after transcatheter aortic valve implantation.
Altiok E, Frick M, Meyer CG, Al Ateah G, Napp A, Kirschfink A, Almalla M, Lotfi S, Becker M, Herich L, Lehmacher W, Hoffmann R
Am J Cardiol 2014 Jun 1;113(11):1859-66. Epub 2014 Mar 17 doi: 10.1016/j.amjcard.2014.02.038. PMID: 24837265
The flail mitral valve: echocardiographic findings by precordial and transesophageal imaging and Doppler color flow mapping.
Himelman RB, Kusumoto F, Oken K, Lee E, Cahalan MK, Shah PM, Schiller NB
J Am Coll Cardiol 1991 Jan;17(1):272-9. doi: 10.1016/0735-1097(91)90738-u. PMID: 1987236

Prognosis

Prevalence and Outcomes of Patients With Discordant High-Gradient Aortic Stenosis.
Unger P, Powers A, Le Nezet E, Lacasse-Rioux E, Galloo X, Clavel MA
J Am Coll Cardiol 2024 Mar 26;83(12):1109-1119. doi: 10.1016/j.jacc.2024.01.025. PMID: 38508842
Impaction of regurgitation jet on anterior mitral leaflet is associated with diastolic dysfunction in patients with bicuspid aortic valve and mild insufficiency: a cardiovascular magnetic resonance study.
Galea N, Pambianchi G, Cundari G, Sturla F, Marchitelli L, Putotto C, Versacci P, De Paulis R, Francone M, Catalano C
Int J Cardiovasc Imaging 2022 Jan;38(1):211-221. Epub 2021 Aug 26 doi: 10.1007/s10554-021-02384-z. PMID: 34448067Free PMC Article
Direct measurement of atrioventricular valve regurgitant jets using 4D flow cardiovascular magnetic resonance is accurate and reliable for children with congenital heart disease: a retrospective cohort study.
Jacobs K, Rigdon J, Chan F, Cheng JY, Alley MT, Vasanawala S, Maskatia SA
J Cardiovasc Magn Reson 2020 May 14;22(1):33. doi: 10.1186/s12968-020-00612-4. PMID: 32404159Free PMC Article
Accuracy of Jet Direction on Doppler Echocardiography in Identifying the Etiology of Mitral Regurgitation in Obstructive Hypertrophic Cardiomyopathy.
Hang D, Schaff HV, Nishimura RA, Lahr BD, Abel MD, Dearani JA, Ommen SR
J Am Soc Echocardiogr 2019 Mar;32(3):333-340. Epub 2018 Dec 28 doi: 10.1016/j.echo.2018.10.011. PMID: 30598365
Characterization and quantification of dynamic eccentric regurgitation of the left atrioventricular valve after atrioventricular septal defect correction with 4D Flow cardiovascular magnetic resonance and retrospective valve tracking.
Calkoen EE, Westenberg JJ, Kroft LJ, Blom NA, Hazekamp MG, Rijlaarsdam ME, Jongbloed MR, de Roos A, Roest AA
J Cardiovasc Magn Reson 2015 Feb 19;17(1):18. doi: 10.1186/s12968-015-0122-4. PMID: 25827288Free PMC Article

Clinical prediction guides

Prevalence and Outcomes of Patients With Discordant High-Gradient Aortic Stenosis.
Unger P, Powers A, Le Nezet E, Lacasse-Rioux E, Galloo X, Clavel MA
J Am Coll Cardiol 2024 Mar 26;83(12):1109-1119. doi: 10.1016/j.jacc.2024.01.025. PMID: 38508842
1-Year Outcomes of Transcatheter Edge-to-Edge Repair in Anatomically Complex Degenerative Mitral Regurgitation Patients.
Smith RL, Lim DS, Gillam LD, Zahr F, Chadderdon S, Rassi AN, Makkar R, Goldman S, Rudolph V, Hermiller J, Kipperman RM, Dhoble A, Smalling R, Latib A, Kodali SK, Lazkani M, Choo J, Lurz P, O'Neill WW, Laham R, Rodés-Cabau J, Kar S, Schofer N, Whisenant B, Inglessis-Azuaje I, Baldus S, Kapadia S, Szerlip M, Kliger C, Boone R, Webb JG, Williams MR, von Bardeleben RS, Ruf TF, Guerrero M, Eleid M, McCabe JM, Davidson C, Hiesinger W, Kaneko T, Shah PB, Yadav P, Koulogiannis K, Marcoff L, Hausleiter J; CLASP IID Pivotal Trial Investigators
JACC Cardiovasc Interv 2023 Dec 11;16(23):2820-2832. Epub 2023 Oct 24 doi: 10.1016/j.jcin.2023.10.020. PMID: 37905772
Impaction of regurgitation jet on anterior mitral leaflet is associated with diastolic dysfunction in patients with bicuspid aortic valve and mild insufficiency: a cardiovascular magnetic resonance study.
Galea N, Pambianchi G, Cundari G, Sturla F, Marchitelli L, Putotto C, Versacci P, De Paulis R, Francone M, Catalano C
Int J Cardiovasc Imaging 2022 Jan;38(1):211-221. Epub 2021 Aug 26 doi: 10.1007/s10554-021-02384-z. PMID: 34448067Free PMC Article
Mitral Valve Cleft-like Indentations in Hypertrophic Obstructive Cardiomyopathy: Insights From Intraoperative Three-Dimensional Transesophageal Echocardiography.
Ye Z, Smith MM, Jouni H, Geske JB, Carney SA, Urina-Jassir M, Schaff HV, Enriquez-Sarano M, Michelena HI
J Cardiothorac Vasc Anesth 2022 Feb;36(2):429-436. Epub 2021 May 25 doi: 10.1053/j.jvca.2021.05.044. PMID: 34176680
Direct measurement of atrioventricular valve regurgitant jets using 4D flow cardiovascular magnetic resonance is accurate and reliable for children with congenital heart disease: a retrospective cohort study.
Jacobs K, Rigdon J, Chan F, Cheng JY, Alley MT, Vasanawala S, Maskatia SA
J Cardiovasc Magn Reson 2020 May 14;22(1):33. doi: 10.1186/s12968-020-00612-4. PMID: 32404159Free PMC Article

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