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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

50
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...
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Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

59
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...
59
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

74
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...
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Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

75
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...
75
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

87
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
87
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

69
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...
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Related Experiment Video

Updated: Oct 21, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Mitral Valve Repair Versus Replacement in The Elderly.

Kinsing Ko1, Thom L de Kroon2, Karen F Schut3

  • 1Cardiothoracic Surgery, St Antonius Hospital, Nieuwegein, The Netherlands; Cardiothoracic Surgery, Radboud UMC, Nijmegen, The Netherlands.

Seminars in Thoracic and Cardiovascular Surgery
|September 1, 2021
PubMed
Summary

For elderly patients (≥70 years), mitral valve replacement and repair show similar short- and long-term outcomes. Long-term survival depends on patient risk factors, not the surgical method used.

Keywords:
70 yearsElderlyMitral valve repairMitral valve replacementSurvival

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Geriatric Medicine

Background:

  • Mitral valve surgery in the elderly presents unique challenges due to comorbidities and reduced life expectancy.
  • The long-term efficacy of mitral valve replacement versus repair in older adults remains a critical clinical question.

Purpose of the Study:

  • To compare short- and long-term outcomes of mitral valve replacement versus repair in patients aged 70 years and older.
  • To identify predictors of survival following minimally invasive mitral valve surgery in the elderly.

Main Methods:

  • Retrospective analysis of 223 patients (≥70 years) undergoing minimally invasive mitral valve surgery.
  • Comparison of 30-day complication rates, mortality, stroke rates, and long-term survival between valve replacement and repair groups.
  • Multivariable Cox regression and propensity weighting were used to analyze survival predictors.

Main Results:

  • No significant differences in 30-day complication rates, mortality, or stroke rates between mitral valve replacement and repair.
  • Long-term survival was not predicted by the type of valve surgery (replacement vs. repair).
  • Patient-specific factors like advanced age, diabetes, and left ventricular dysfunction predicted reduced long-term survival.

Conclusions:

  • Mitral valve repair and replacement in elderly patients yield comparable good short- and long-term results.
  • Surgical approach (replacement vs. repair) is not a determinant of long-term survival in this population.
  • Patient-related risk factors are the primary drivers of long-term outcomes after mitral valve surgery in the elderly.