Dynamic changes in the canine mitral regurgitant orifice area during ventricular ejection.

Abstract:

:We designed this study to test the hypothesis that in acute mitral regurgitation the mitral regurgitant area (MRA) is a dynamic quantity which varies with the time variation of ventricular volume. Mitral insufficiency was created in five open-chest dogs in which a portion of the anterior leaflet was excised. Phasic aortic and mitral flows were measured electromagnetically, along with left atrial and ventricular pressures. Filling, regurgitant, and stroke volumes, and systolic pressure gradient were determined by digital methods. MRA was calculated from the fluid dynamic equation of motion to give the temporal mean and the instantaneous value at three instants of time and at the time of peak flow (when inertia is negligible). Mean regurgitant fraction was 42 +/- 12% with no indication of left ventricular failure due to volume overload. MRA decreased monotonically with time to 59% of its initial value and closely paralleled the decrease in ventricular volume during systole. In a control study using a tilting-disc prosthesis with a hole 5 mm in diameter in the occluder, the calculated MRA was time invariant and equal to the measured area for regurgitation. We conclude that in acute mitral regurgitation the MRA is a function of ventricular volume.

journal_name

Circ Res

journal_title

Circulation research

authors

Yellin EL,Yoran C,Sonnenblick EH,Gabbay S,Frater RW

doi

10.1161/01.res.45.5.677

subject

Has Abstract

pub_date

1979-11-01 00:00:00

pages

677-83

issue

5

eissn

0009-7330

issn

1524-4571

journal_volume

45

pub_type

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