A right track stems from the right learning

Reply from authors: Anatomical or functional repair for ischemic mitral regurgitation: Find the right antidote!

“…Some technical and other details deserve clarification. First, in contrast with the technique described by Nappi ADULT and colleagues, 1,3 we implant true-sized rings and no longer apply restrictive annuloplasty in patients with significant LV enlargement. 2 Second, to improve the long-term durability of the patch (which remains to be confirmed), we now use CardioCel (LeMaitre Vascular, Burlington, Mass) patches instead of autologous pericardium.…”

“…However, other parameters could also be considered, such as the LV end systolic volume/body surface area 65 mL/m 2 as mentioned by Nappi and colleagues. 1,3 This subject certainly merits future clinical evaluations with larger sample sizes. Undoubtedly, with respect to long-term patient outcomes, a successful and durable repair (whenever feasible) is always superior to other interventions such as valve replacement or transcatheter procedures.…”