Mitral valve surgery for chronic ischemic mitral regurgitation

A comparison of quality of life in mitral valve replacement and mitral valve repair patients

“…[19] It was also reported that there was no significant difference between MVR and MVr in terms of the survival rates in patients with ischemic mitral valve disease. [20][21][22] However, 30 days of mortality reduced in patients who underwent MVr. In another study, MVr was found to be related to a longer survival, and valve replacement was a risk factor in terms of long-term mortality.…”

Surgical approaches to treatment of ischemic mitral regurgitation (literature review)

“…Особенно это актуально у паци-ентов с выраженным натяжением подклапанного аппара-та и соответственно высоким риском сохранения или ре-цидива МР после аннулопластики (A. Calafiore и соавт. [3], W. Bouma и соавт. [4]).…”

“…A. Calafiore и соавт. [3] рекомен-дуют выполнять протезирование МК при тяжелом натя-жении подклапанного аппарата, глубине коаптации бо-лее 10 мм.…”

Primary mitral valve regurgitation: Update and review

“…98,99 Studies show a more reliable reduction in mitral regurgitation with valve replacement, 100 with no difference in major outcomes between repair and replacement. 99,101 D. Watchful waiting versus early surgical intervention in asymptomatic patients with severe mitral regurgitation High volume centers of excellence are moving toward a more aggressive surgical approach and they recommend mitral valve repair in asymptomatic patients with severe mitral regurgitation in the absence of left ventricular dysfunction, atrial fibrillation and pulmonary hypertension. That is a Class IIa indication in the 2014 ACC/ AHA guidelines 6 and a Class IIb in the 2012 European guidelines.…”