Chapter 12

Mitral Regurgitation

2 credits

What you will learn

This chapter will provide you with in-depth knowledge that will help you determine the severity of mitral regurgitation. You will learn which factors determine whether a patient should undergo valve surgery and what the mechanism of mitral regurgitation is. A special section will be dedicated to practical issues such as how to view the specific portions of the mitral valve and how to find the origin of a jet.

  • Prognosis, hemodynamics, cause
  • Quantification
  • Imaging
  • Mechanism
  • Indications for surgery



Case stories

It was almost noon when Mrs. Mary, a 62 year old woman from southern Austria, entered the echo lab. In the last few months she had been complaining about exertional dyspnea...
Would you board an airplane if you thought the pilot didn't know how to fly? Would you give your money to a financial consultant who had a bad service record?
We all love criteria, checklists, and guidelines. They help us to remember and deal with complex issues. However, in very complex and variable situations it may be better to rely on “the recognition of patterns” and look at several examples.
Did you really think Martha had no other options? That she had truly reached the end of the road? Well sometimes there is a distant light - it may be faint, but it does give hope.
You are probably familiar with the following situation: you have a patient who is in desperate need of some kind of treatment, but none of the options are very appealing.
Remember one of the last cases in which I had promised to report on the outcome of the pregnant woman who developed heart failure and mitral regurgitation? Well, here is the sequel...
As doctors we are usually responsible for the life of ONE patient. However, this is not always the case...
It is common wisdom that the direction of a regurgitant jet reveals the mechanism of mitral regurgitation: a posterior/lateral jet direction suggests a flail leaflet or prolapse of the anterior leaflet, whereas a jet oriented in anterior/medial direction is indicative of a flail or prolapsing posterior leaflet.
Patient demo: echo secrets.

Echo facts

Click on the link below to download or print your fact sheet.

The internet course “Mitral Regurgitation” is accredited by the European Board for Accreditation in Cardiology (EBAC) for 2 hours of External CME credits. Each participant should claim only those hours of credit that have actually been spent in the educational activity. EBAC works according to the quality standards of the European Accreditation Council for Continuing Medical Education (EACCME), which is an institution of the European Union of Medical Specialists (UEMS).

In compliance with EBAC/ EACCME guidelines, all speakers/ chairpersons participating in this programme have disclosed potential conflicts of interest that might cause a bias in the presentations. The Organising Committee is responsible for ensuring that all potential conflicts of interest relevant to the programme are declared to the audience prior to the CME activities. More information