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 Concept Videos

Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

1.4K
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...
1.4K
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

689
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...
689
Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

606
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
606
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

1.8K
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...
1.8K
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

538
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...
538
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

548
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
548

You might also read

Related Articles

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

Sort by
Same author

Ozaki procedure as a reconstructive strategy in rheumatic multivalvar patients: feasibility and initial outcomes in a low-resource setting.

Cardiology in the young·2026
Same author

Influence of Technical Performance Score on Outcomes After Tetralogy of Fallot Repair in a Low-Middle-Income Country.

World journal for pediatric & congenital heart surgery·2026
Same author

Left-sided prosthetic valve thrombosis in low-income settings: why one size does not fit all.

European heart journal·2025
Same author

Why Africa needs its own criteria for heart valve prosthesis selection.

European heart journal·2025
Same author

Historical, Cultural, and Structural Barriers for Cardiac Surgery in Sub-Saharan Africa: Lessons Learned From Angola.

World journal for pediatric & congenital heart surgery·2025
Same author

Letter by Manuel Regarding Article, "Progressive LV Dysfunction and Adverse Outcomes After Aortic Valve Replacement With Bioprosthetic Valves in Young Patients".

Circulation. Cardiovascular imaging·2025

Related Experiment Video

Updated: May 5, 2026

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

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

Published on: December 11, 2017

13.3K

Rheumatic Mitral Valve Surgery: Repair or Replacement?

Luís Henrique Oliveira Pereira1, Kelvin Câmara1, Tamires Santos Pinheiro1

  • 1Department of Medicine, Faculdade de Medicina, Universidade Centro de Ensino de Maringá (UNICESUMAR), Maringá, Paraná, Brazil.

Brazilian Journal of Cardiovascular Surgery
|February 17, 2025
PubMed
Summary

Mitral valve repair offers better outcomes than replacement for rheumatic heart disease, with lower mortality and fewer complications. Survival and reoperation rates were similar between the two procedures.

Keywords:
Mitral ValveReoperationReviewRheumatic Heart DiseaseTreatment Outcome

More Related Videos

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

3.7K
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

2.9K

Related Experiment Videos

Last Updated: May 5, 2026

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

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

Published on: December 11, 2017

13.3K
A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

3.7K
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

2.9K

Area of Science:

  • Cardiology
  • Public Health
  • Surgical Outcomes

Background:

  • Rheumatic heart disease (RHD) is a significant public health issue, particularly in developing nations.
  • The mitral valve (MV) is frequently impacted by RHD, often necessitating surgical intervention.
  • A debate exists regarding the optimal treatment: mitral valve repair versus replacement.

Purpose of the Study:

  • To conduct a systematic review comparing patient survival after rheumatic mitral valve (MV) repair versus replacement.
  • To analyze complication rates and reoperation necessity for both MV repair and replacement procedures.

Main Methods:

  • Systematic literature review of English-language studies from January 2021 to February 2022.
  • Databases searched included PubMed, LILACS, SciELO, and Google Scholar, adhering to PRISMA guidelines.
  • Included studies involved at least 30 patients undergoing either MV repair or replacement for rheumatic disease.

Main Results:

  • Analysis of six studies encompassing 2874 patients (69.6% female; age range 11–66 years).
  • Mitral valve repair group: 2.5% mortality, 3.7% reoperation rate.
  • Mitral valve replacement group: 8.2% mortality, 3.6% reoperation rate. Overall survival was comparable (85% repair vs. 87% replacement).

Conclusions:

  • Mitral valve repair demonstrated lower mortality and complication rates compared to mitral valve replacement.
  • Reoperation rates and patient survival were similar between the mitral valve repair and replacement groups.
  • Mitral valve repair may be a preferable option for patients with rheumatic heart disease, considering the observed differences in mortality and complications.