Table 1. Carpentier Surgical Classification of Pathology of Mitral Valve.
Dysfunction | Lesions | Lesions |
---|---|---|
Type I | Annular dilatation Leaflet perforation/tear |
Dilated cardiomyopathy Endocarditis |
Type II Excess leaflet motion (leaflet prolapse) |
Elongation/ruptured chordae Elongation/rupture papillary muscle |
Degenerative valve disease Fibroelastic deficiency Barlow's disease Marfan disease Endocarditis Trauma Ischemic cardiomyopathy |
Type IIIa Restricted leaflet motion (diastole and systole phases) |
Leaflet thickening/retraction Leaflet calcification Chordal thickening/retraction/fusion Commissural fusion |
Rheumatic heart disease Carcinoid heart disease |
Type IIIb Restricted leaflet motion (systole phase) |
Left ventricular dilatation/aneurysm Papillary muscle displacement Chordae tethering |
Ischemic/dilated cardiomyopathy |