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Mitral regurgitation in patients with aortic stenosis undergoing valve replacement
  1. Philippe Unger (philippe.unger{at}erasme.ulb.ac.be)
  1. Université Libre de Bruxelles, Erasme Hospital, Belgium
    1. Chantal Dedobbeleer
    1. Université Libre de Bruxelles, Erasme Hospital, Belgium
      1. Guy Van Camp
      1. Universitair Ziekenhuis, UZ Brussel, Belgium
        1. Danièle Plein
        1. Clinique Saint-Jean, Belgium
          1. Bernard Cosyns
          1. CHIREC-Hôpital de Braine l'Alleud, Belgium
            1. Patrizzio Lancellotti
            1. Centre Hospitalier Universitaire Sart Tilman, Belgium

              Abstract

              Mitral regurgitation is a frequent finding in patients with aortic stenosis scheduled for aortic valve replacement. Detection of mitral regurgitation in such patients has important implications, as it can independently affect functional status and prognosis. When mitral regurgitation is moderate-to-severe, a decision to operate on both valves should only be made following a careful clinical and echocardiographic assessment. Indeed, double-valve surgery increases peri- and post-operative risks, and mitral regurgitation may improve spontaneously after isolated aortic valve replacement. Better understanding of the determinants of these changes appears particularly crucial in the light of recent advances in percutaneous aortic valve replacement.

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