Key result
Mitral valve replacement was associated with a lower incidence of recurrent mitral insufficiency and need for reintervention compared to repair, with comparable mortality and quality of life.
Why the study?
The study was conducted to compare the efficacy of reconstructive techniques and mitral valve replacement in patients with severe ischemic mitral insufficiency.
Does mitral valve replacement compared to mitral valve repair improve outcomes in patients with severe ischemic mitral insufficiency?
Systematic Review
Does mitral valve replacement compared to mitral valve repair improve outcomes in patients with severe ischemic mitral insufficiency?
In patients with severe ischemic mitral insufficiency, mitral valve replacement may be preferable to repair due to lower rates of MR recurrence and reintervention.
May inform surgical choice in severe ischemic MR; leaves open optimal strategy pending randomized data.
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Скопин et al. (2022) conducted a systematic review in Severe ischemic mitral insufficiency. Mitral valve replacement vs. Mitral valve repair was evaluated on Recurrence of mitral insufficiency and need for repeated interventions. Mitral valve replacement was associated with a lower incidence of recurrent mitral insufficiency and need for reintervention compared to repair, with comparable mortality and quality of life.
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