Related Experiment Video

Updated: Apr 19, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

2.8K

Outcomes of nonpledgeted horizontal mattress suture technique for mitral valve replacement

Gun Jik Kim1, Jong Tae Lee1, Young Ok Lee1

  • 1Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital.

The Korean Journal of Thoracic and Cardiovascular Surgery
|January 1, 2015
PubMed
Abstract

Insights

Nonpledgeted sutures in mitral valve replacement (MVR) do not increase paravalvular leak (PVL) risk. This study suggests nonpledgeted sutures are a safe alternative to pledgeted sutures for MVR, with similar outcomes for PVL and prosthetic valve endocarditis (PVE).

Area of Science:

  • Cardiovascular Surgery
  • Surgical Techniques
  • Prosthetic Valve Implantation

Background:

  • Surgeons often prefer pledgeted sutures for heart valve replacement, believing they reduce paravalvular leak (PVL).
  • The potential impact of nonpledgeted sutures on prosthetic valve endocarditis (PVE) and major PVL risk in mitral valve replacement (MVR) is less understood.

Purpose of the Study:

  • To investigate whether nonpledgeted sutures in mitral valve replacement (MVR) are associated with a decreased incidence of prosthetic valve endocarditis (PVE) and risk of major paravalvular leak (PVL).
  • To compare the outcomes of MVR using nonpledgeted versus pledgeted sutures.

Main Methods:

  • A retrospective analysis of 263 patients undergoing MVR.
  • Comparison of outcomes between 175 patients who received nonpledgeted sutures (2003-2013) and 88 patients who received pledgeted sutures (1995-2001).
  • Evaluation of the occurrence of PVL and PVE in both groups.

Main Results:

  • Paravalvular leak (PVL) occurred in 2.9% of the nonpledgeted group and 1.1% of the pledgeted group.
  • Prosthetic valve endocarditis (PVE) incidence was 2.9% in the nonpledgeted group and 1.1% in the pledgeted group.
  • No statistically significant differences in PVL or PVE rates were observed between the two suture techniques.

Conclusions:

  • Nonpledgeted suture technique can serve as a viable alternative to pledgeted sutures in the majority of mitral valve replacement (MVR) procedures.
  • The use of nonpledgeted sutures in MVR does not lead to a significant increase in the incidence of paravalvular leak (PVL).
Keywords:
Mitral valve, replacementMorbiditySuture techniques

More Related Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

15.0K
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

12.5K

Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
488
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
545
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
1.0K
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
1.3K
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
627
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
1.2K