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Ультразвуковая и функциональная диагностика

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Значение эхокардиографии в выявлении и оценке митральной аннулярной дизъюнкции

https://doi.org/10.24835/1607-0771-2022-3-17-29

Аннотация

Статья представляет собой обзор литературы, посвященный значению эхокардиографии в выявлении и оценке митральной аннулярной дизъюнкции – специфической анатомической аномалии, характеризующейся отчетливым разделением между митральным кольцом и стенкой левого предсердия, с одной стороны, и базальной частью задне-бокового сегмента миокарда левого желудочка – с другой. Митральная аннулярная дизъюнкция является нередким компонентом аритмических пролапсов митрального клапана с фиброзом левого желудочка. Приводятся данные о связи митральной аннулярной дизъюнкции с желудочковыми аритмиями и у пациентов без пролапса митрального клапана. Наряду с эхокардиографией приводится значение других неинвазивных методов визуализации в диагностике митральной аннулярной дизъюнкции.

Об авторе

М. Н. Алехин
ФГБУ ДПО “Центральная государственная медицинская академия” Управления делами Президента Российской Федерации; ФГБУ “Центральная клиническая больница с поликлиникой” Управления делами Президента Российской Федерации
Россия

Алехин Михаил Николаевич - д.м.н., профессор, профессор кафедры терапии, кардиологии и функциональной диагностики с курсом нефрологии

г. Москва



Список литературы

1. Алехин М.Н., Докина Е.Д. Эхокардиографическая диагностика сети Хиари. Ультразвуковая и функ циональная диагностика. 2014; 5: 119–127.

2. Алехин М.Н., Сидоренко Б.А. Клиническое значение нитевидных структур (экскреценций Ламбла) на створках клапанов сердца. Кардиология. 2013; 53 (6): 71–75.

3. Hutchins G.M., Moore G.W., Skoog D.K. The association of floppy mitral valve with disjunction of the mitral annulus fibrosus. N. Engl. J. Med. 1986; 314 (9): 535–540. https://doi.org/10.1056/nejm198602273140902

4. Bharati S., Granston A.S., Liebson P.R., Loeb H.S., Rosen K.M., Lev M. The conduction system in mitral valve prolapse syndrome with sudden death. Am. Heart J. 1981; 101 (5): 667–670. https://doi.org/10.1016/0002-8703(81)90235-0

5. Carmo P., Andrade M.J., Aguiar C., Rodrigues R., Gouveia R., Silva J.A. Mitral annular disjunction in myxomatous mitral valve disease: a relevant abnormality recognizable by transthoracic echocardiography. Cardiovasc. Ultrasound. 2010; 8: 53. https://doi.org/10.1186/1476-7120-8-53

6. Perazzolo Marra M., Basso C., De Lazzari M., Rizzo S., Cipriani A., Giorgi B., Lacognata C., Rigato I., Migliore F., Pilichou K., Cacciavillani L., Bertaglia E., Frigo A.C., Bauce B., Corrado D., Thiene G., Iliceto S. Morphofunctional abnormalities of mitral annulus and arrhythmic mitral valve prolapse. Circ. Cardiovasc. Imaging. 2016; 9 (8): e005030. https://doi.org/10.1161/circimaging.116.005030

7. Dejgaard L.A., Skjolsvik E.T., Lie O.H., Ribe M., Stokke M.K., Hegbom F., Scheirlynck E.S., Gjertsen E., Andresen K., Helle-Valle T.M., Hopp E., Edvardsen T., Haugaa K.H. The mitral annulus disjunction arrhythmic syndrome. J. Am. Coll. Cardiol. 2018; 72 (14): 1600–1609. https://doi.org/10.1016/j.jacc.2018.07.070

8. Caselli S., Mango F., Clark J., Pandian N.G., Corrado D., Autore C., Pelliccia A. Prevalence and clinical outcome of athletes with mitral valve prolapse. Circulation. 2018; 137 (19): 2080–2082. https://doi.org/10.1161/circulationaha.117.033395

9. Bennett S., Thamman R., Griffiths T., Oxley C., Khan J.N., Phan T., Patwala A., Heatlie G., Kwok C.S. Mitral annular disjunction: a systematic review of the literature. Echocardiography. 2019; 36 (8): 1549–1558. https://doi.org/10.1111/echo.14437

10. Tani T., Konda T., Kitai T., Ota M., Furukawa Y. Mitral annular disjunction – a new disease spectrum. Cardiol. Clin. 2021; 39 (2): 289–294. https://doi.org/10.1016/j.ccl.2021.01.011

11. Sabbag A., Essayagh B., Barrera J.D.R., Basso C., Berni A., Cosyns B., Deharo J.C., Deneke T., Di Biase L., Enriquez-Sarano M., Donal E., Imai K., Lim H.S., Marsan N.A., Turagam M.K., Peichl P., Po S.S., Haugaa K.H., Shah D., de Riva Silva M., Bertrand P., Saba M., Dweck M., Townsend S.N., Ngarmukos T., Fenelon G., Santangeli P., Sade L.E., Corrado D., Lambiase P., Sanders P., Delacretaz E., Jahangir A., Kaufman E.S., Saggu D.K., Pierard L., Delgado V., Lancellotti P. EHRA expert consensus statement on arrhythmic mitral valve prolapse and mitral annular disjunction complex in collaboration with the ESC Council on valvular heart disease and the European Association of Cardiovascular Imaging endorsed by the Heart Rhythm Society, by the Asia Pacific Heart Rhythm Society, and by the Latin American Heart Rhythm Society. Europace. 2022; 24 (12): 1981–2003. https://doi.org/10.1093/europace/euac125

12. Konda T., Tani T., Suganuma N., Nakamura H., Sumida T., Fujii Y., Kawai J., Kitai T., Kim K., Kaji S., Furukawa Y. The analysis of mitral annular disjunction detected by echocardiography and comparison with previously reported pathological data. J. Echocardiogr. 2017; 15 (4): 176–185. https://doi.org/10.1007/s12574-017-0349-1

13. Eriksson M.J., Bitkover C.Y., Omran A.S., David T.E., Ivanov J., Ali M.J., Woo A., Siu S.C., Rakowski H. Mitral annular disjunction in advanced myxomatous mitral valve disease: echocardiographic detection and surgical correction. J. Am. Soc. Echocardiogr. 2005; 18 (10): 1014–1022. https://doi.org/10.1016/j.echo.2005.06.013

14. Newcomb A.E., David T.E., Lad V.S., Bobiarski J., Armstrong S., Maganti M. Mitral valve repair for advanced myxomatous degeneration with posterior displacement of the mitral annulus. J. Thorac. Cardiovasc. Surg. 2008; 136 (6): 1503–1509. https://doi.org/10.1016/j.jtcvs.2008.05.059

15. Konda T., Tani T., Suganuma N., Fujii Y., Ota M., Kitai T., Kaji S., Furukawa Y. Mitral annular disjunction in patients with primary severe mitral regurgitation and mitral valve prolapse. Echocardiography. 2020; 37 (11): 1716–1722. https://doi.org/10.1111/echo.14896

16. Lee A.P., Jin C.N., Fan Y., Wong R.H.L., Underwood M.J., Wan S. Functional implication of mitral annular disjunction in mitral valve prolapse: a quantitative dynamic 3D echocardiographic study. JACC. Cardiovasc. Imaging. 2017; 10 (12): 1424–1433. https://doi.org/10.1016/j.jcmg.2016.11.022

17. Komoda T., Hetzer R., Oellinger J., Sinlawski H., Hofmeister J., Hubler M., Felix R., Uyama C., Maeta H. Mitral annular flexibility. J. Card. Surg. 1997; 12 (2): 102–109. https://doi.org/10.1111/j.1540-8191.1997.tb00103.x

18. Nistri S., Galderisi M., Ballo P., Olivotto I., D’Andrea A., Pagliani L., Santoro A., Papesso B., Innelli P., Cecchi F., Mondillo S.; Working Group on Echocardiography of the Italian Society of Cardiology. Determinants of echocardiographic left atrial volume: implications for normalcy. Eur. J. Echocardiogr. 2011; 12 (11): 826–833. https://doi.org/10.1093/ejechocard/jer137

19. Grewal J., Suri R., Mankad S., Tanaka A., Mahoney D.W., Schaff H.V., Miller F.A., Enriquez-Sarano M. Mitral annular dynamics in myxomatous valve disease: new insights with real-time 3-dimensional echocardiography. Circulation. 2010; 121 (12): 1423–1431. https://doi.org/10.1161/circulationaha.109.901181

20. Topilsky Y., Vaturi O., Watanabe N., Bichara V., Nkomo V.T., Michelena H., Le Tourneau T., Mankad S.V., Park S., Capps M.A., Suri R., Pislaru S.V., Maalouf J., Yoshida K., Enriquez-Sarano M. Real-time 3-dimensional dynamics of functional mitral regurgitation: a prospective quantitative and mechanistic study. J. Am. Heart Assoc. 2013; 2 (3): e000039. https://doi.org/10.1161/jaha.113.000039

21. Wunderlich N.C., Ho S.Y., Flint N., Siegel R.J. Myxomatous mitral valve disease with mitral valve prolapse and mitral annular disjunction: clinical and functional significance of the coincidence. J. Cardiovasc. Dev. Dis. 2021; 8 (2): 9. https://doi.org/10.3390/jcdd8020009

22. Lee A.P., Hsiung M.C., Salgo I.S., Fang F., Xie J.M., Zhang Y.C., Lin Q.S., Looi J.L., Wan S., Wong R.H., Underwood M.J., Sun J.P., Yin W.H., Wei J., Tsai S.K., Yu C.M. Quantitative analysis of mitral valve morphology in mitral valve prolapse with real-time 3-dimensional echocardiography: importance of annular saddle shape in the pathogenesis of mitral regurgitation. Circulation. 2013; 127 (7): 832–841. https://doi.org/10.1161/circulationaha.112.118083

23. Salgo I.S., Gorman J.H. 3rd, Gorman R.C., Jackson B.M., Bowen F.W., Plappert T., St. John Sutton M.G., Edmunds L.H. Jr. Effect of annular shape on leaflet curvature in reducing mitral leaflet stress. Circulation. 2002; 106 (6): 711–717. https://doi.org/10.1161/01.cir.0000025426.39426.83

24. Mantegazza V., Tamborini G., Muratori M., Gripari P., Fusini L., Italiano G., Volpato V., Sassi V., Pepi M. Mitral annular disjunction in a large cohort of patients with mitral valve prolapse and significant regurgitation. JACC. Cardiovasc. Imaging. 2019; 12 (11): 2278–2280. https://doi.org/10.1016/j.jcmg.2019.06.021

25. Basso C., Perazzolo Marra M., Rizzo S., De Lazzari M., Giorgi B., Cipriani A., Frigo A.C., Rigato I., Migliore F., Pilichou K., Bertaglia E., Cacciavillani L., Bauce B., Corrado D., Thiene G., Iliceto S. Arrhythmic mitral valve prolapse and sudden cardiac death. Circulation. 2015; 132 (7): 556–566. https://doi.org/10.1161/circulationaha.115.016291

26. Muthukumar L., Rahman F., Jan M.F., Shaikh A., Kalvin L., Dhala A., Jahangir A., Tajik A.J. The pickelhaube sign: novel echocardiographic risk marker for malignant mitral valve prolapse syndrome. JACC. Cardiovasc. Imaging. 2017; 10 (9): 1078–1080. https://doi.org/10.1016/j.jcmg.2016.09.016

27. Biondi R., Ribeyrolles S., Diakov C., Amabile N., Ricciardi G., Khelil N., Berrebi A., Zannis K. Mapping of the myxomatous mitral valve: the three-dimensional extension of mitral annular disjunc tion in surgically repaired mitral prolapse. Front. Cardiovasc. Med. 2022; 9: 1036400. https://doi.org/10.3389/fcvm.2022.1036400

28. Toh H., Mori S., Izawa Y., Fujita H., Miwa K., Suzuki M., Takahashi Y., Toba T., Watanabe Y., Kono A.K., Tretter J.T., Hirata K.I. Prevalence and extent of mitral annular disjunction in structurally normal hearts: comprehensive 3D analysis using cardiac computed tomography. Eur. Heart J. Cardiovasc. Imaging. 2021; 22 (6): 614–622. https://doi.org/10.1093/ehjci/jeab022

29. Levack M.M., Jassar A.S., Shang E.K., Vergnat M., Woo Y.J., Acker M.A., Jackson B.M., Gorman J.H. 3rd, Gorman R.C. Three-dimensional echocardiographic analysis of mitral annular dynamics: implication for annuloplasty selection. Circulation. 2012; 126 (11. Suppl. 1): S183–S188. https://doi.org/10.1161/circulationaha.111.084483

30. Clavel M.A., Mantovani F., Malouf J., Michelena H.I., Vatury O., Jain M.S., Mankad S.V., Suri R.M., Enriquez-Sarano M. Dynamic phenotypes of degenerative myxomatous mitral valve disease: quantitative 3-dimensional echocardiographic study. Circ. Cardiovasc. Imaging. 2015; 8 (5): e002989. https://doi.org/10.1161/circimaging.114.002989

31. Mantegazza V., Volpato V., Gripari P., Ghulam Ali S., Fusini L., Italiano G., Muratori M., Pontone G., Tamborini G., Pepi M. Multimodality imaging assessment of mitral annular disjunction in mitral valve prolapse. Heart. 2021; 107 (1): 25–32. https://doi.org/10.1136/heartjnl-2020-317330

32. Putnam A.J., Kebed K., Mor-Avi V., Rashedi N., Sun D., Patel B., Balkhy H., Lang R.M., Patel A.R. Prevalence of mitral annular disjunction in patients with mitral valve prolapse and severe regurgitation. Int. J. Cardiovasc. Imaging. 2020; 36 (7): 1363–1370. https://doi.org/10.1007/s10554-020-01818-4

33. Basso C., Perazzolo Marra M. Mitral annulus disjunction: emerging role of myocardial mechanical stretch in arrhythmogenesis. J. Am. Coll. Cardiol. 2018; 72 (14): 1610–1612. https://doi.org/10.1016/j.jacc.2018.07.069

34. Aabel E.W., Chivulescu M., Dejgaard L.A., Ribe M., Gjertsen E., Hopp E., Hunt T.E., Lie O.H., Haugaa K.H. Tricuspid annulus disjunction: novel findings by cardiac magnetic resonance in patients with mitral annulus disjunction. JACC. Cardiovasc. Imaging. 2021; 14 (8): 1535–1543. https://doi.org/10.1016/j.jcmg.2021.01.028

35. Mangini F., Muscogiuri E., Del Villano R., Rosato R., Casavecchia G., Pigazzani F., Bruno E., Medico A., Grimaldi M., Biederman R.W.W. Tricuspid annular disjunction can be isolated and even arrhythmogenic. A cardiac magnetic resonance study. Arch. Clin. Cases. 2022; 9 (2): 41–49. https://doi.org/10.22551/2022.35.0902.10202

36. Tong J., Yew M., Huang W., Yong Q.W. The dance of death: cardiac arrest, mitral and tricuspid valve prolapses, and biannular disjunctions. CASE (Phila). 2021; 6 (3): 95–102. https://doi.org/10.1016/j.case.2021.11.006

37. Toh H., Mori S., Izawa Y., Toba T., Nishii T., Hirata K.I. Revival of mitral and tricuspid annular disjunctions: are these really abnormal findings ? JACC. Cardiovasc. Imaging. 2021; 14 (8): 1682–1684. https://doi.org/10.1016/j.jcmg.2021.05.026


Рецензия

Для цитирования:


Алехин М.Н. Значение эхокардиографии в выявлении и оценке митральной аннулярной дизъюнкции. Ультразвуковая и функциональная диагностика. 2022;(3):17-29. https://doi.org/10.24835/1607-0771-2022-3-17-29

For citation:


Alekhin M.N. The value of echocardiography in the detection and evaluation of mitral annular disjunction. Ultrasound & Functional Diagnostics. 2022;(3):17-29. (In Russ.) https://doi.org/10.24835/1607-0771-2022-3-17-29

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