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February 13, 2013European Journal of Cardio-Thoracic Surgery

Can the edge-to-edge technique provide durable results when used to rescue patients with suboptimal conventional mitral repair?

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Why the study?

Does the rescue edge-to-edge technique provide durable results in patients with suboptimal conventional mitral valve repair?

Population

43 patients with significant residual mitral regurgitation detected intraoperatively after conventional…

Design

Cohort

Follow-up

median 5.7 years, up to 14.6 years

Key result

Rescue edge-to-edge repair for suboptimal conventional mitral valve repair yielded 96.9% freedom from reoperation and severe mitral regurgitation at 10 years.

Authors

MBMichele De BonisELElisabetta LapennaNBNicola Buzzatti

Discussion

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Overview

Supports durability of rescue edge-to-edge repair; leaves open need for randomized trials before changing practice.

Study Design

Type

Cohort (n=43)

Structured PICO

Does the rescue edge-to-edge technique provide durable results in patients with suboptimal conventional mitral valve repair?

P
Population
43 patients who underwent rescue edge-to-edge repair for significant residual mitral regurgitation after conventional mitral valve repair, followed for a median of 5.7 years.
E
Exposure
Rescue edge-to-edge repair (central or commissural suture) with the original conventional mitral valve repair left in place.
O
Outcome
Long-term outcomes including actuarial survival, freedom from cardiac death, freedom from reoperation, and freedom from MR ≥ 3+ at 10 years.hard clinical

A rescue edge-to-edge repair is a rapid, effective, and durable option for addressing suboptimal results detected intraoperatively during conventional mitral valve repair.

Cite This Study

Bonis et al. (2013) conducted a cohort in Significant residual mitral regurgitation after conventional mitral valve repair (n=43). Rescue edge-to-edge repair was evaluated on Freedom from reoperation and freedom from mitral regurgitation ≥ 3+ at 10 years. Rescue edge-to-edge repair for suboptimal conventional mitral valve repair yielded 96.9% freedom from reoperation and severe mitral regurgitation at 10 years.

synapsesocial.com/papers/6aa4e3ec50d1b974a3f2d8dahttps://doi.org/10.1093/ejcts/ezt056
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