RT Book, Section 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. SR Print(0) ID 1104590590 T1 Mitral Valve Repair for Degenerative Disease T2 Johns Hopkins Textbook of Cardiothoracic Surgery YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-166350-2 LK accesssurgery.mhmedical.com/content.aspx?aid=1104590590 RD 2024/10/10 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