Key result
Mitral valve repair with flexible versus rigid annuloplasty devices showed no significant differences in early mortality (2 vs 1 patient) or failure of repair at 6 months.
Why the study?
Mitral valve repair is the surgery of choice for mitral regurgitation, but early results comparing flexible and rigid annuloplasty devices in degenerative mitral regurgitation needed evaluation.
Does mitral valve repair with a flexible annuloplasty device improve early outcomes compared to a rigid annuloplasty device in patients with degenerative mitral regurgitation?
Cohort (n=64)
No
Does mitral valve repair with a flexible annuloplasty device improve early outcomes compared to a rigid annuloplasty device in patients with degenerative mitral regurgitation?
Both flexible and rigid annuloplasty devices provide good early clinical outcomes for degenerative mitral regurgitation, though they may affect postoperative left ventricular remodeling differently.
Answers are grounded in this paper and cite their sources.
Early outcomes similar with either device; leaves open differential LV remodeling effects in degenerative MR.
Background the most common clinically presented valvular heart disease is mitral regurgitation (MR). Mitral valve repair is considered the surgery of choice for mitral regurgitation. Objective: The aim of the current work was to evaluate the early result of mitral repair with flexible and rigid annuloplasty devices in degenerative mitral regurgitation. Patients and Methods: This prospective study included a total of 64 patients with degenerative mitral regurgitation undergoing surgery for mitral valve repair with either a flexible or rigid annuloplasty device, attending at Department Cardiothoracic Surgery, Zagazig University Hospitals. This study was conducted between September 2017 and June 2020. We evaluated all patients after 6 months of surgery. Results: According to early mortality there were 2 patients in flexible group, and 1 patient in rigid one with no significant differences. There were also no significant differences according to failure of repair. Conclusion: It could be concluded that in spite of type of annuloplasty devices used, the early outcomes of mitral valve repair with rigid or flexible device show good results in our prospective study, but there were statistical differences between both groups regarding postoperative left ventricular dimension and function.
No takes yet. Share an insight, caveat, or question.
Saeed et al. (2021) conducted a cohort in Degenerative mitral regurgitation (n=64). Flexible annuloplasty device vs. Rigid annuloplasty device was evaluated on Early mortality and failure of repair. Mitral valve repair with flexible versus rigid annuloplasty devices showed no significant differences in early mortality (2 vs 1 patient) or failure of repair at 6 months.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: