Table 8.

Characteristics that identify unfavourable outcome to MV repair surgery

View	Measure or image	Explanatory note	Image
PLAX	Image 1 Annular diameter	Measure A-P annular diameter in systole
All views	Image 2 Extent of calcification	Describe the location and extent of calcification in the annulus, leaflets and subvalvar apparatus
PLAX	Image 3 Coaptations height	Zoom on the mitral valve in the parasternal long-axis view. Freeze the image and scroll through to mid-systole. Draw a line between the anterior and posterior annular points. Measure the coaptation height perpendicular to the plane of the annular line.
PLAX	Image 4 Coaptation area	Once coaptation height has been measured, the area between the annular plane and the atrial surface of the leaflets can be measured.
PSAX – PM	Image 5 Inter-papillary distance	Freeze the image and scroll to end-systole. Measure the inter-papillary distance.
A4C	Image 6 Systolic sphericity index	Adjust the depth of the image to focus on the LV. Freeze the image and scroll to peak systole. Measure the diameter and longitudinal dimension at the longest/widest. Divide the basal diameter by the longitudinal dimension, a value >0.7 Indicates adverse LV remodelling.