Korean Circ J.  1989 Mar;19(1):41-46. 10.4070/kcj.1989.19.1.41.

Reverse Doming of Anterior Mitral Leaflet in Aortic Regurgitation

• Yang YL
• Jang TW
• Ha BJ
• Suh BW
• Lee SG
• Han DS
• Jung MH
• Lee JW

• KMID: 1670372
• DOI: http://doi.org/10.4070/kcj.1989.19.1.41

Abstract

In 40 patients with aortic regurgitation(AR), the incidence of reverse doming of anterior mitral leaflet was studied by 2-D echocardiography. Reverse doming could be indentified in 17 of 18 patients(94.4%)with severe AR, in 6 of 15 patients(14.3%)with mild AR. And in relation to the direction of regurgitant jet, reverse doming was noticed in 9 of 11 patients(82%) toward the center of left ventricular cavity. In conclusion, the appearance of reverse doming of anterior mitral leaflet is thought to be related to the degree of AR and the direction of regurgitant jet. And reverse doming by 2-D echocardiography is a helpful parameter for the diagnosis of moderate to severe AR.

Keyword

Reverse doming; Anterior mitral leaflet; Aortic regurgitation

MeSH Terms

Aortic Valve Insufficiency*
Diagnosis
Echocardiography
Humans
Incidence