The Effects of Mitral Regurgitation Alone Are Sufficient for Leaflet Remodeling by Elizabeth H. Stephens, Tom C. Nguyen, Akinobu Itoh, Neil B. Ingels, D. Craig Miller, and K. Jane Grande-Allen Circulation Volume 118(14 suppl 1):S243-S249 September 30, 2008 Copyright © American Heart Association, Inc. All rights reserved. Figure 1. Intraoperative picture of hole punch made in the posterior leaflet of the mitral valve. Elizabeth H. Stephens et al. Circulation. 2008;118:S243S249 Copyright © American Heart Association, Inc. All rights reserved. Figure 2. A, Diagram showing location from which AML cross-sections were taken. Elizabeth H. Stephens et al. Circulation. 2008;118:S243S249 Copyright © American Heart Association, Inc. All rights reserved. Figure 3. A, Microstructure of a mitral valve anterior leaflet (originally stained with Movat pentachrome) showing different regions and layers. Elizabeth H. Stephens et al. Circulation. 2008;118:S243S249 Copyright © American Heart Association, Inc. All rights reserved. Figure 4. A, MR grade of HOLE versus CTRL. B, Sample echo image of regurgitant jet in a HOLE animal. Elizabeth H. Stephens et al. Circulation. 2008;118:S243S249 Copyright © American Heart Association, Inc. All rights reserved. Figure 5. Staining intensity of matrix components in HOLE and CTRL animals. *P<0.05; †P=0.022R; ‡P=0.081. Elizabeth H. Stephens et al. Circulation. 2008;118:S243S249 Copyright © American Heart Association, Inc. All rights reserved. Figure 6. A, MMP-9 expression in various regions of the valve (P=0.021). Elizabeth H. Stephens et al. Circulation. 2008;118:S243S249 Copyright © American Heart Association, Inc. All rights reserved. Figure 7. Background elastin staining (overall P=0.023). Elizabeth H. Stephens et al. Circulation. 2008;118:S243S249 Copyright © American Heart Association, Inc. All rights reserved.
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