Diagnosis, Classification, and Management Strategies for Mitral Annular Calcification A Heart Valve Collaboratory Position Statement

被引：16

作者：

Guerrero, Mayra E. ^{[1
,13
]}

Grayburn, Paul ^{[2
]}

Smith II, Robert L. ^{[2
]}

Sorajja, Paul ^{[3
]}

Wang, Dee Dee ^{[4
]}

Ahmad, Yousif ^{[5
]}

Blusztein, David ^{[6
]}

Cavalcante, Joao ^{[3
]}

Tang, Gilbert H. L. ^{[7
]}

Ailawadi, Gorav ^{[8
]}

Lim, D. Scott ^{[9
]}

Blanke, Philipp ^{[10
]}

Eleid, Mackram F. ^{[1
]}

Kaneko, Tsuyoshi ^{[11
]}

Thourani, Vinod H. ^{[12
]}

Bapat, Vinayak ^{[3
]}

Mack, Michael J. ^{[2
]}

Leon, Martin B. ^{[6
]}

George, Isaac ^{[6
]}

机构：

[1] Mayo Clin, Rochester, MN USA

[2] Baylor Scott & White Hlth, Plano, TX USA

[3] Abbott NW Hosp, Minneapolis Heart Inst, Minneapolis, MN USA

[4] Henry Ford Hlth, Detroit, MI USA

[5] Yale Univ, Sch Med, New Haven, CT USA

[6] Columbia Univ, Irving Med Ctr, NewYork Presbyterian Hosp, New York, NY USA

[7] Mt Sinai Hlth Syst, New York, NY USA

[8] Univ Michigan, Ann Arbor, MI USA

[9] Univ Virginia, Charlottesville, VA USA

[10] Univ British Columbia, St Pauls Hosp, Vancouver, BC, Canada

[11] Washington Univ, Sch Med, St Louis, MO USA

[12] Piedmont Heart Inst, Atlanta, GA USA

[13] Mayo Clin Hosp, Mayo Clin, Dept Cardiovasc Med, Coll Med, 1216 2nd St SW, Rochester, MN 55905 USA

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2023年 / 16卷 / 18期

关键词：

mitral annulus calcification; mitral annulus calcification severity classification; mitral valve surgery; transcatheter mitral valve replacement; OUTFLOW TRACT OBSTRUCTION; COMPUTED-TOMOGRAPHY; SEPTAL ABLATION; REPLACEMENT; STENOSIS; IMPLANTATION; EXPERIENCE; OUTCOMES; ANULUS; RISK;

D O I：

10.1016/j.jcin.2023.06.044

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Mitral annular calcium (MAC) with severe mitral valvular dysfunction presents a complex problem, as valve replacement, either surgical or transcatheter, is challenging because of anatomy, technical considerations, concomitant comorbidities, and advanced age. The authors review the clinical and anatomical features of MAC that are favorable (green light), challenging (yellow light), or prohibitive (red light) for surgical or transcatheter mitral valve interventions. Under the auspices of the Heart Valve Collaboratory, an expert working group of cardiac surgeons, interventional cardiologists, and interventional imaging cardiologists was formed to develop recommendations regarding treatment options for patients with MAC as well as a proposed grading and staging system using both anatomical and clinical features.(c) 2023 by the American College of Cardiology Foundation.

引用

页码：2195 / 2210

页数：16

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