September 14, 2009Circulation
Mitral Repair versus Replacement for Ischemic Mitral Regurgitation
Why the study?
Does mitral valve repair improve survival compared to mitral valve replacement in patients with ischemic mitral regurgitation?
Population
370 patients with ischemic mitral regurgitation who underwent mitral valve surgery
Comparison
Mitral valve repair (MVRp) vs Mitral valve replacement (MVR)
Design
Cohort
Follow-up
6 years
Authors
Discussion
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Member takes
Implication
Repair was not associated with lower mortality than replacement in ischemic MR; leaves open optimal strategy pending randomized data.
Structured PICO
Does mitral valve repair improve survival compared to mitral valve replacement in patients with ischemic mitral regurgitation?
P
Population
370 patients with ischemic mitral regurgitation who underwent mitral valve surgery
I
Intervention
Mitral valve repair (MVRp)
C
Comparator
Mitral valve replacement (MVR)
O
Outcome
Operative mortality and overall 6-year survivalhard clinical
Mitral valve repair does not appear superior to replacement for operative or overall mortality in patients with ischemic mitral regurgitation, contrasting with findings in organic mitral regurgitation.
Cite This Study
Magné et al. (2009) studied this question.