A comparison of repair and replacement for mitral valve incompetence

Concomitant aortic and mitral surgery: To replace or repair the mitral valve?

“…In isolated mitral valve surgery, MRep has proven its superiority regarding late survival and event-free survival. 16,17 Third, it is of the utmost importance to know the durability of the MRep in these instances. We can argue that it is better to have a good functioning mitral prosthesis rather than a badly repaired mitral valve.…”

Superiority of mitral valve repair in surgery for degenerative mitral regurgitation

“…NYHA class III or IV symptoms are useful markers of left ventricular impairment in severe mitral regurgitation, particularly as the regurgitation masks the decline in left ventricular contractility and ejection fraction. The risk of postoperative myocardial failure is markedly increased by pre-operative NYHA class III or IV symptoms (hazard ratio 6-6) and a left ventricular ejection fraction of <40% (hazard ratio [4][5][6][7][8]. Early surgery before these features appear is essential to optimise outcome.…”

Usefulness of Live/Real Time Three‐Dimensional Transthoracic Echocardiography in the Identification of Individual Segment/Scallop Prolapse of the Mitral Valve

“…Whenever possible, mitral valve repair instead of replacement should be undertaken for treatment of mitral valve prolapse (MVP) 1–3 . For better surgical repair, precise anatomic identification of the prolapsing part (anterior segments and posterior scallops) of the MV is necessary 4–8 .…”