BACKGROUND Mitral valve repair is the standard therapy for patients with severe mitral regurgitation. Currently, robotic mitral valve repair is the least invasive surgical approach and an alternative to the traditional sternotomy. Recent studies and newer guidelines on mitral valve repair advocate for earlier referral to surgery, resulting in better long-term outcomes of valve function and decr...

T ranscatheter MitraClip (Abbott Vascular, Santa Clara, California) implantation has emerged as the single catheter-based technique for mitral valve repair with global adoption. Worldwide, an estimated 25,000 patients have been treated with the MitraClip so far. Typically, the incidence of major stroke after surgical mitral valve repair or replacement is similar to what is seen after surgical a...

BACKGROUND AND AIM OF THE STUDY A new mitral valve repair concept to treat mitral regurgitation (MR) due to valve prolapse was recently proposed. In this study, an improved design of this concept is presented, and the results of preliminary hemodynamic studies conducted in an in-vitro prolapse model are reported. METHODS The new repair approach is based on using a web/net attached to a standa...

Background—Durability assessment of mitral valve repair for degenerative valve incompetence is actually limited to reoperation as the primary indicator, with valve-related risk factors for late death as a secondary indicator. We assessed serial echocardiographic follow-up of valve function as an indicator of the durability of mitral valve repair. Methods and Results—In 242 patients who had unde...

Sir: We read the article ‘Anatomic characteristics of bileaflet mitral valve prolapse – Barlow disease – in patients undergoing mitral valve repair’ by Rostagno et al. (2014) with great interest. In this article, they shared their surgical observations about bileaflet mitral valve prolapse (MVP) in terms of mitral valve repair. We appreciated their experiences on mitral valve repair in patients...

In patients with active infective endocarditis mitral valve repair is better than mitral valve replacement, but it remains a challenge when there has been massive destruction of the rough zone of the anterior leaflet. We report a technical modification of mitral valve repair for advanced active infective endocarditis in which a widely infected rough zone and the chordae were successfully replac...

The fastest growing demographic group in Europe and America is the elderly, and significant mitral regurgitation is very prevalent in this population. At present, with mitral valve surgery in elderly individuals gaining greater acceptance worldwide, the question whether to repair or replace the valve remains controversial. Recent studies have demonstrated the safety, feasibility, and durability...

Background and aim of the study: Mitral valve repair is the procedure of choice for severe degenerative mitral regurgitation (MR). The objective of this study was to review prospectively gathered echocardiographic and clinical results with mitral valve repair for degenerative disease. Methods: Between May 1995 and July 2004, 403 patients underwent mitral valve repair for degenerative disease (m...

The first successful mitral valve repair was performed by Elliot Cutler at Brigham and Women's Hospital in 1923. Subsequent evolution in the surgical techniques as well as multi-disciplinary cooperation between cardiac surgeons, cardiologists and cardiac anesthesiologists has resulted in excellent outcomes. In spite of this, the etiology of mitral valve pathology ultimately determines the outco...

The gold standard treatment of degenerative mitral valve disease remains surgical repair. The classic repair described by Dr. Carpentier (1) with leaflet resection and annuloplasty remains the primary technique for mitral repair. Other techniques such as the “American correction” (2) or artificial chordae have been introduced with similar success rates. Innovations in surgical approach over the...