Key result
Use of an adjustable annuloplasty ring during mitral valve repair resulted in all 20 patients leaving the operating room without any residual mitral regurgitation.
Why the study?
Does an adjustable annuloplasty ring eliminate residual mitral regurgitation in patients undergoing mitral valve repair for degenerative mitral regurgitation?
Observational (n=20)
No
Does an adjustable annuloplasty ring eliminate residual mitral regurgitation in patients undergoing mitral valve repair for degenerative mitral regurgitation?
The use of an adjustable annuloplasty ring allows for intraoperative echocardiography-guided size adjustments, resulting in no residual mitral regurgitation or SAM in a small initial cohort.
May enable zero residual MR via intraoperative adjustment; leaves open durability and need for larger trials.
OBJECTIVE: Owing to the complex anatomy of the mitral valve, successful surgical repair of degenerative regurgitation remains a challenging procedure in cardiac surgery. METHODS: This paper aimed to report on our single-center experience with 20 patients who received an adjustable annuloplasty ring (Cardinal ring, ValtechCardio Ltd, Or Yehuda, Israel) as part of their mitral valve repair procedure. The device allows for intraoperative echocardiography-guided ring size adjustments under beating-heart conditions. RESULTS: All of the 20 patients left the operating room without any residual mitral regurgitation. There was no risk of systolic anterior movement (SAM) because of image-guided fine tuning of the ring before weaning the patient from bypass. CONCLUSIONS: Further multicenter data are required to prove the concept of adjustable annuloplasty devices.
No takes yet. Share an insight, caveat, or question.
Czesla et al. (2015) conducted an observational in Degenerative mitral regurgitation (n=20). Adjustable annuloplasty ring (Cardinal ring) was evaluated on Residual mitral regurgitation upon leaving the operating room. Use of an adjustable annuloplasty ring during mitral valve repair resulted in all 20 patients leaving the operating room without any residual mitral regurgitation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: