Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Mitral valve repair versus replacement.

K L Yun1, D C Miller

  • 1Department of Cardiovascular Surgery, Stanford University School of Medicine, California.

Cardiology Clinics
|May 1, 1991
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Using machine learning to advance synthesis and use of conservation and environmental evidence.

Conservation biology : the journal of the Society for Conservation Biology·2018
Same author

MHC haplotype diversity in Persian Arabian horses determined using polymorphic microsatellites.

Immunogenetics·2017
Same author

Deregulated expression of EZH2 in congenital brainstem disconnection.

Neuropathology and applied neurobiology·2016
Same author

Variation in the use of postoperative radiotherapy among high-risk patients following radical prostatectomy.

Prostate cancer and prostatic diseases·2016
Same author

Twin Problems of Interfacial Carbonate Formation in Nonaqueous Li-O2 Batteries.

The journal of physical chemistry letters·2015
Same author

Molecular evidence for natural killer-like cells in equine endometrial cups.

Placenta·2012
Same journal

The Heart-Brain Connection.

Cardiology clinics·2026
Same journal

Overcoming Psychological Barriers to Treatment Adherence: The Case of Antihypertensive Medication.

Cardiology clinics·2026
Same journal

Cardio-oncology Rehabilitation and Mental Health: Current Evidence and Future Perspectives.

Cardiology clinics·2026
Same journal

Cardiac Rehabilitation and Mental Health.

Cardiology clinics·2026
Same journal

Best-Practice Mental Health Interventions Following Acute Cardiovascular Events.

Cardiology clinics·2026
Same journal

Positive Psychology Interventions and Cardiovascular Health: Frequency and Duration to Sustain Cardiovascular Benefits.

Cardiology clinics·2026
See all related articles

Mitral valve repair shows slightly lower operative mortality and superior late survival compared to replacement. Factors favoring repair include fewer complications and better left ventricular (LV) function, though definitive evidence is limited.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Surgery
  • Thoracic Surgery

Background:

  • Mitral valve repair and replacement are common surgical interventions for mitral valve disease.
  • Comparative studies suggest potential benefits of valve repair over replacement.

Purpose of the Study:

  • To compare the early and late outcomes of mitral valve repair versus prosthetic or bioprosthetic mitral valve replacement.
  • To identify factors influencing the choice between mitral valve repair and replacement.

Main Methods:

  • Review of major series comparing mitral valve repair and replacement outcomes.
  • Analysis of operative mortality, late survival, and complication rates.

Main Results:

  • Mitral valve repair demonstrated slightly lower operative mortality and superior late survival.

Related Experiment Videos

  • Valve repair was associated with fewer thromboembolic and endocarditis-related complications and improved left ventricular (LV) function.
  • Durability is comparable, except in rheumatic valve disease where reoperation rates are higher after repair.

    • Conclusions:

    • Mitral valve repair offers compelling advantages, including lower mortality, better survival, and improved LV function, despite limitations in definitive evidence.
    • Surgeon experience and specific patient criteria significantly influence repair success.
    • While a prospective randomized trial is ideal, its feasibility is questionable; preservation of the subvalvular apparatus is crucial in replacement cases.