Degenerative mitral valve disease-contemporary surgical approaches and repair techniques

Abstract

Given the increasing age of the US population and the accompanying rise in cardiovascular disease, we expect to see an increasing number of patients affected by degenerative mitral valve disease in a more complex patient population. Therefore, increasing the overall rate of mitral valve repair will become even more important than it is today, and the capability to provide a universally and uniformly accepted quality of repair will have important medical, economic, and societal implications. This article will describe preoperative and intraoperative considerations and the currently practiced mitral valve repair approaches and techniques.The aim of the article is to present our contemporary approach to mitral valve repair in the hope that it can be adopted at other institutions that may have low repair rates. Adoption of simple and reproducible mitral valve repair techniques is of paramount importance if we as a profession are to accomplish overall higher rates of mitral valve repair with optimal outcomes.

Participating in Sports After Mitral Valve Repair for Primary Mitral Regurgitation: A Retrospective Cohort Study

“…5 We deliberately selected young patients without comorbidity undergoing first-time isolated MVR to limit confounding factors. We also excluded secondary MR because of a different prognosis from primary MR. 28,29 The surgical techniques used were compliant with the MVR approaches and techniques 30 that are currently practiced. Our composite endpoint included the usual complications of MVR.…”

Mitral Butterfly

“…Alignment to the annulus is maintained by the shape of the atrial wing, ensuring adequate structural support. The Mitral Butterfly is primarily designed for use on the posterior (P2/P3) segment, which is most commonly affected by MV prolapse ( 7 ). However, it has also been successfully applied in passive perfused hearts to anterior leaflet prolapse.…”

Echocardiographic prediction of surgical reparability in degenerative mitral regurgitation due to leaflet prolapse: a review

“…Information Classification: General durability. [40] Still, no controlled study will ever provide this intangible evidence because valvular surgery in this context is a very "surgeon and center-dependent" therapy as the ability to perform several techniques [41]. On the other hand, too much credence on echocardiography may be of concern and clinical evidence on the incremental benefit of 3D-TEE is needed.…”