Abstract
Abstract Optimal interventional planning for ischemic mitral regurgitation, initially known as papillary muscle dysfunction syndrome, has been a matter of debate for decades. The primary challenge constitutes the selection of patients who will benefit from an intervention. In this E-challenge, the authors present a unique case with discrepancies in evaluation of severity of mitral valve regurgitation using qualitative visual assessment and the semiquantitative vena contracta method. Therefore, the authors have used an innovative approach involving R-wave–gated 3-dimensional imaging for quantitative valve analysis and assessment of the degree of valvular remodeling to assist in decision-making.
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