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 2024/04/19
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