Why the study?
Does mitral valve repair improve long-term survival and reduce valve-related morbidity compared to mitral valve replacement in children and young adults with rheumatic heart disease?
Population
81 patients under 20 years of age with rheumatic heart disease undergoing their first isolated mitral valve…
Comparison
Mitral valve repair vs Mitral valve replacement
Design
Cohort
Follow-up
mean 7.6 years (range 0-19.4 years)
Authors
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May favor repair to reduce events in young rheumatic patients; hypothesis-generating and should not yet change practice without RCTs.
Does mitral valve repair improve long-term survival and reduce valve-related morbidity compared to mitral valve replacement in children and young adults with rheumatic heart disease?
In children and young adults with rheumatic heart disease, mitral valve repair offers superior long-term freedom from thromboembolic and hemorrhagic events and a trend toward better survival compared to valve replacement.
Reményi et al. (2013) studied this question.
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