Key result
Minimally invasive surgical mitral valve repair remains the gold standard for nearly all patients with degenerative valvular diseases, despite the development of catheter-based techniques.
Minimally invasive surgical mitral valve repair remains the gold standard for most patients with degenerative valvular diseases, despite the emergence of catheter-based techniques.
Affirms surgical mitral repair as first-line for degenerative disease; leaves open need for head-to-head trials versus transcatheter options.
Minimally invasive surgical mitral valve repair (MVRepair) has become routine for the treatment of mitral valve regurgitation, and indications have been expanded to include reoperations. Current European Society of Cardiology/European Association for Cardio-Thoracic Surgery guidelines for the management of valvular heart disease recommended standards in terms of mitral valve disease differentiation, timing of intervention and surgical techniques to improve patient care. Numerous minimally invasive techniques to lessen the invasiveness have been described, such as the minimal-access J-sternotomy (ministernotomy), the parasternal incision, the port-access technique and the right minithoracotomy. Despite the development of catheter-based techniques, surgical repair remains the gold standard today for nearly all patients with degenerative valvular diseases and the majority of patients with other types of valvular diseases. Techniques include resection of the prolapsed segment, neo-chordae implantation and ring annuloplasty. In this review, the current indications for mitral valve surgery are summarised and state-of-the-art MVRepair techniques are highlighted.
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Praet et al. (2017) conducted a review in Mitral valve regurgitation. Minimally invasive surgical mitral valve repair was evaluated. Minimally invasive surgical mitral valve repair remains the gold standard for nearly all patients with degenerative valvular diseases, despite the development of catheter-based techniques.
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