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Please see page 212 for the article by Macnab et al. (doi: 10.1016/j.euje.2004.01.005) to which this editorial pertains. The requirements for echocardiography to assess the morphology and function of the regurgitant mitral valve have largely been dependant on the available treatment options. In the era of mitral valve replacement, the most important question for the echocardiographer was to determine the severity of regurgitation and to estimate if further delay of operation would worsen the prognosis. With the development and widespread use of advanced techniques for surgical valve reconstruction, which have shown to improve survival compared to valve replacement, the demands of echocardiography have increased considerably. Apart from assessing the severity of regurgitation using Doppler techniques the major goal of echocardiography is now to assess the feasibility of valve repair before operation. To determine the feasibility of mitral valve repair and to plan the optimal surgical technique as much details of mitral valve pathomorphology as possible need to be obtained. Complex valve pathology such as commissural involvement and bi-leaflet prolapse may result in significant difficulties for the surgeon. Thus, there is a need for a reliable and reproducible method for the comprehensive assessment of mitral valve pathomorphology which is crucial for planning and outcome of the operation.Today's gold standard for the evaluation of mitral valve pathomorphology …

Regurgitant mitral valve and 3D echocardiography?meant for each other?