Valve Repair Improves the Outcome of Surgery for Mitral Regurgitation

Abstract

Valve repair significantly improves postoperative outcome in patients with mitral regurgitation and should be the preferred mode of surgical correction. The low operative mortality is an incentive for early surgery before ventricular dysfunction occurs.

Recurrence of mitral valve regurgitation after mitral valve repair in degenerative valve disease

“…Although these reports present up to 10-year follow-up results of survival, improved postoperative status, or freedom from reoperation, they do not describe echocardiographic follow-up of recurrence of mitral valve regurgitation. [3][4][5][6][7][8][9][10] The goal of the present study is to analyze the recurrence of mitral regurgitation in terms of incidence and degree in a series of patients undergoing mitral valve repair for degenerative disease. All patients were operated on in the same institution, by the same surgeon, and with the use of standard repair techniques.…”

Impact of real-time three-dimensional transesophageal echocardiography on procedural success for mitral valve repair

“…Mitral valve repair is superior to mitral valve replacement in operative mortality and long-term prognosis [18]. Under these conditions, pre-operative assessment of mitral apparatus is important for improving operative success.…”

Plastia valvar mitral na doença cardíaca reumática e degeneração mixomatosa: estudo comparativo

“…Os resultados de estudos comparativos entre reconstrução e troca valvar para insuficiência mitral crônica por degeneração mixomatosa evidenciam superioridade do reparo, principalmente em relação à mortalidade operatória e tardia (12) e função ventricular (12)(13)(14)(15)(16)(17) . A reconstrução mitral isoladamente foi identificada como fator de melhor prognóstico numa série de 409 pacientes, cujos parâmetros clínicos e ecocardiográficos de função ventricular foram estudados por análise multivariada (18) .…”