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Mitral valve replacement versus repair in 2003: where do we stand?
Abe DeAnda1, Vigneshwar Kasirajan, Robert S D Higgins
1Division of Cardiothoracic Surgery, Department of Surgery, Virginia Commonwealth University Health System/Medical College of Virginia, Richmond 23298, USA. adeanda@nsc1.nsc.vcu.edu
Current Opinion in Cardiology
|March 26, 2003
Summary
Mitral valve repair is increasingly common, with better-defined risks, benefits, and patient selection compared to replacement. However, optimal treatment for ischemic mitral regurgitation remains an open question.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery
- Thoracic Surgery
Background:
- Mitral valve repair is rising in prominence for cardiac procedures.
- Surgeons are gaining experience, leading to better understanding of repair risks and benefits versus replacement.
- Patient selection and favorable valve morphologies for repair are increasingly recognized.
Purpose of the Study:
- To review the current landscape of mitral valve repair.
- To highlight advancements in techniques, including minimally invasive approaches.
- To identify the persistent challenges in mitral valve surgery, specifically ischemic mitral regurgitation.
Main Methods:
- Review of current trends in mitral valve procedures.
- Analysis of comparative risks and benefits of repair versus replacement.
- Evaluation of patient and valve morphology criteria for successful repair.
- Assessment of emerging surgical techniques.
Main Results:
- Mitral valve repair is becoming a more significant proportion of all mitral valve interventions.
- The comparative risks and benefits between mitral valve repair and replacement are becoming clearer.
- Criteria for favorable patient populations and valve morphologies for repair have been refined.
- New techniques, including minimally invasive options, have been introduced.
Conclusions:
- Mitral valve repair is an evolving and increasingly favored procedure.
- Further research and consensus are needed to address the management of ischemic mitral regurgitation.
- The field continues to advance with improved techniques and patient selection for mitral valve repair.