Argument for Prophylactic, Catheter-Based Repair of Mitral Regurgitation

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Mitral valve repair for ischemic mitral regurgitation.

Mitral valve repair for ischemic mitral valve regurgitation remains controversial. In moderate mitral regurgitation (MR), controversy exists whether revascularization alone will be adequate to restore native valve geometry or whether intervention on the valve (repair) should be performed concomitantly. When MR is severe, the need for valve intervention is not disputed. Rather, the controversy i...

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repair versus replacement for ischemic mitral regurgitation

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The Role of Open Mitral Valve Repair or Replacement for Severe Mitral Stenosis or Regurgitation versus Catheter Based Therapies

INTRODUCTION The development of various catheter-based therapies for valvular heart disease has provided less invasive, durable treatment options for certain selected groups of patients particularly young patients with uncomplicated rheumatic mitral stenosis (1,2). In these patients, results have been similar to those obtained with closed mitral commissurotomy operation (3,4). However, in many ...

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ژورنال

عنوان ژورنال: Circulation

سال: 2018

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.118.032852