TY - CHAP M1 - Book, Section TI - Mitral Valve Repair for Degenerative Disease A1 - Bajwa, Gurjyot A1 - Mihaljevic, Tomislav A1 - Gillinov, A. Marc A2 - Yuh, David D. A2 - Vricella, Luca A. A2 - Yang, Stephen C. A2 - Doty, John R. PY - 2014 T2 - Johns Hopkins Textbook of Cardiothoracic Surgery AB - Advantages of repair vs replacementDegenerative disease of the mitral valve is a surgically treatable entity, when repaired leading to improved quality of life and better long-term survival as opposed to replacement.Keys to repairCondition of the mitral valveExperience of the surgeonRepair techniquesChoice of repair depends on the site of prolapse.Tailor repair to site and mechanism determined by perioperative echocardiogramSurgical approachesRange from complete sternotomy to robotically assistedChoice of approach should be tailored to valve pathology determined preoperatively.Standard, reproducible repair techniques should be employed.OutcomesDurability of repair is measured by freedom from reoperation and recurrence of MR.Operative risk is less than 1 percent.Long-term survival rates at 10, 15, and 20 years are 92, 76, and 48 percent, respectively SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/05 UR - accesssurgery.mhmedical.com/content.aspx?aid=1104590590 ER -