Nmitral-valve repair versus replacement for severe ischemic mitral regurgitation pdf

The treatment strategy for ischemic mitral regurgitation mr continues to. Although practice guidelines recommend surgery for patients with severe chronic ischemic mitral regurgitation cimr, they do not specify whether to repair or replace the mitral valve. Mitralvalve repair versus replacement for severe ischemic mitral regurgitation. Mitral valve annuloplasty versus replacement for severe. Mitral valve repair has been widely regarded as the optimal surgical procedure to treat mitral valve dysfunction of all etiologies and is currently the most commonly performed surgical procedure for mitral valve regurgitation in north america. Pdf mitralvalve repair versus replacement for severe. Secondary functional mitral regurgitation the cardiology advisor. Repair or replace for severe ischemic mitral regurgitation annals of. A recently reported randomized clinical trial by the cardiothoracic surgical trials network ctsn, which compared mitral valve repair and replacement for severe ischemic mitral regurgitation, reported no difference in left ventricular endsystolic volume index or in survival at 2 years. Mitral valve repair for degenerative mitral valve disease.

Mitralvalve repair versus replacement for severe ischemic mitral. Both european and us guidelines for the management of patients with valvular heart disease stipulate that mitral valve surgery can be considered for patients. Acker ma1, parides mk, perrault lp, moskowitz aj, gelijns ac. Degenerative, ischemic, rheumatic and infectious endocarditis processes are responsible for mitral valve disease in adults. Mitral valve repair versus replacement pubmed central pmc. The rate of moderate or severe recurrence of mitral regurgitation at 12 months was higher in the repair group than in the replacement group 32. Mitral valve repair versus replacement for severe ischemic mitral regurgitation. Secondary mitral regurgitation smr occurs when coronary disease with. We randomly assigned 251 patients with severe ischemic mitral regurgitation to undergo either mitral valve repair or chordalsparing replacement in order to evaluate efficacy and safety. Mitralvalve repair versus replacement for severe ischemic. We randomly assigned patients with chronic, severe ischemic mitral regurgitation, in a 1.