EDUCATION IN HEART

Valve disease

Mitral valve repair: better than replacement

J M Ferrão de Oliveira, Manuel J Antunes

Centro de Cirurgia Cardiotorácica, Hospital da Universidade, Coimbra, Portugal

Correspondence to:
Correspondence to:
Professor Manuel J Antunes
Centro de Cirurgia Cardiotorácica, Hospitais da Universidade, 3049 Coimbra Codex, Portugal; antunes.cct.huc@sapo.pt

Keywords: mitral valve repair; mitral regurgitation

The first 150 words of the full text of this article appear below.

For the majority of surgeons, mitral valve repair has become the method of choice for surgical correction of mitral regurgitation. However, the feasibility of repair depends not only on the pathology but also on the experience of the surgeon and/or team. Success rates may reach almost 100% in the most common form of isolated prolapse of the middle scallop of the posterior leaflet. Nevertheless, mitral repair is still subject to a pronounced, sometimes painful, learning curve. The durability of the repair also depends on the type of pathology and on many other factors, including the technique used.

Since its inception in the 1970s, the techniques of mitral valve repair have been the subject of many modifications and improvements which have made it a more predictable and reproducible method. One area where much improvement was made was ischaemic regurgitation, which was initially considered refractory to repair and for which . . . [Full text of this article]

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