Skip to main content

12 De mitralisklep

  • Chapter
Praktische echocardiografie
  • 3478 Accesses

Samenvatting

De klep tussen LA en LV is de mitralisklep. De klep dankt zijn naam aan Vesalius, die deze naam in 1543 voor het eerst gebruikte, omdat hij vond dat de klep in geopende toestand gelijkenis vertoonde met een bisschopsmijter. Als de mitralisklep tijdens diastole geopend is, kan het bloed ongehinderd van LA naar LV stromen, terwijl tijdens systole de gesloten klep ervoor zorgt dat er geen bloed kan terugstromen van LV naar LA. De mitralisklep bestaat niet alleen uit de beide klepbladen, maar is een complexe functionele eenheid die bestaat uit LA, mitralisannulus, klepbladen, chordae tendineae, papillairspieren en LV-wand die in harmonie met elkaar samenwerken (fig. 12.1). Deze functionele eenheid noemen we het mitralisklepapparaat. Alle zes genoemde onderdelen van het mitralisklepapparaat worden in dit hoofdstuk achtereenvolgens besproken.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Literatuur

  • Bargiggia CS, Tronconi L, Sahn DJ, et al. A new method for quantitation of mitral regurgitation based on color flow Doppler imaging of flow convergence proximal to regurgitant orifice. Circulation 1991;84:1481–1489.

    Article  CAS  PubMed  Google Scholar 

  • Baumgartner H, Hung J, Bermejo J, et al. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. European Journal of Echocardiography 2009;10:1–25.

    Article  PubMed  Google Scholar 

  • Castello R, Lenzen P, Aguirre F, Labovitz AJ. Quantitation of mitral regurgitation by transesophageal echocardiography with Doppler color flow mapping: correlation with cardiac catheterization. J Am Coll Cardiol 1992;19:1516–1521.

    Article  CAS  PubMed  Google Scholar 

  • Enriquez-Sarano M, Tajik AJ, Bailey KR, Seward JB. Color flow imaging compared with quantitative Doppler assessment of severity of mitral regurgitation: influence of eccentricity of jet and mechanism of regurgitation. J Am Coll Cardiol 1993;21:1211–1219.

    Article  CAS  PubMed  Google Scholar 

  • Faletra F, Pezzano JA, Fusco R, et al. Measurement of mitral valve area in mitral stenosis: Four echocardiographic methods compared with direct measurement of anatomic orfices. J Am Coll Cardiol 1996; 28:1190–1197.

    Article  CAS  PubMed  Google Scholar 

  • Helmcke F, Nanda NC, Hsiung MC, et al. Color Doppler assessment of mitral regurgitation with orthogonal planes. Circulation 1987;75:175–183.

    Article  CAS  PubMed  Google Scholar 

  • Mascherbauer J, Rosenhek R, Barbara Bittner B, et al. Doppler echocardiographic assessment of valvular regurgitation severity by measurement of the vena contracta: an in vitro validation study. J Am Soc Echocardiogr 2005;18:999–1006.

    Article  PubMed  Google Scholar 

  • Pieper PG. Echocardiography in evaluation and management of mitral regurgitation. Groningen, 1996.

    Google Scholar 

  • Vahanian A, Baumgartner H, Bax J, et al. Guidelines on the management of valvular heart disease. The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. European Heart Journal 2007;28:230–268.

    PubMed  Google Scholar 

  • Wilkins GT, Weyman AE, Abascal VM, et al. Percutaneous balloon dilatation of the mitral valve: an analysis of echocardiographic variables related to outcome and the mechanism of dilatation. Br Heart J 1988;60:299–308.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Zoghbi WA, Enriquez-Sarano M, Foster E, et al. Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography. A report from the American Society of Echocardiography’s Nomenclature and Standards Committee and The Task Force on Valvular Regurgitation, developed in conjunction with the American College of Cardiology Echocardiography Committee, The Cardiac Imaging Committee Council on Clinical Cardiology, the American Heart Association, and the European Society of Cardiology Working Group on Echocardiography. J Am Soc Echocardiogr 2003;16: 777–802.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Bohn Stafleu van Loghum, onderdeel van Springer Uitgeverij

About this chapter

Cite this chapter

Pieper, P.G. (2009). 12 De mitralisklep. In: Hamer, J.P.M., Pieper, P.G. (eds) Praktische echocardiografie. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-7565-3_12

Download citation

  • DOI: https://doi.org/10.1007/978-90-313-7565-3_12

  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-313-6235-6

  • Online ISBN: 978-90-313-7565-3

  • eBook Packages: Dutch language eBook collection

Publish with us

Policies and ethics