Review Article

Exploring the Operative Strategy for Secondary Mitral Regurgitation: A Systematic Review

Table 4

Receiver-operating characteristic curve analyses, discriminative cutoff values, and diagnostic models associated with recurrent moderate-to-severe mitral regurgitation after RMA [8, 10, 12, 14, 18, 28, 3034, 38, 4042, 55, 56].

Valvular parametersVentricular parameters included PASPSymmetric MV tethering pattern diagnostic models†

or LV end-systolic  ml or LVESV/BSA/ml/m265MV tenting
MV tenting
Posterior leaflet MV tenting
Posterior leaflet tethering MV tenting
Mitral annulus Interpapillary muscle
MR Systolic sphericity
Central or complex regurgitant jetMyocardial performance
Wall motion score
Presence of a basal aneurysm/dyskinesis
Diastolic dysfunction (restrictive filling pattern)