Mitral valve surgery after failed transcatheter intervention for mitral regurgitation: surgical techniques, challenges and outcomes
Key result
Mitral valve surgery after failed M-TEER is linked to high mortality and ~60% 1-year survival.
Why the study?
Mitral valve surgery following failed M-TEER is an increasingly necessary but complex procedure, prompting a review of operative challenges, decision-making, and contemporary outcomes.
Population
Patients with failed M-TEER requiring mitral valve surgery
Design
Comprehensive literature review and high-volume centre experience
Authors
Discussion
Loading...
Member takes
Implication
Substantial mortality after failed M-TEER salvage surgery warrants specialized expertise; leaves open optimal patient selection and timing in prospective studies.
Structured PICO
P
Population
Patients requiring mitral valve surgery after failed mitral transcatheter edge-to-edge repair (M-TEER), with a median age of 70-76 years.
I
Intervention
Mitral valve surgery (repair or replacement)
O
Outcome
Operative challenges, decision-making, and contemporary outcome data (including mortality and survival)
Mitral valve surgery after failed M-TEER is technically complex, frequently requires valve replacement rather than repair, and carries high mortality, suggesting these patients should be managed at high-volume centers.
Cite This Study
Marin‐Cuartas et al. (2025) conducted a review in Failed mitral transcatheter edge-to-edge repair (M-TEER). Mitral valve surgery was evaluated on 30-day mortality and 1-year survival. Mitral valve surgery after failed M-TEER is associated with high mortality, with reported 30-day mortality ranging from 10% to 40% and 1-year survival below 60%.