Edge-to-edge surgical mitral valve repair in the era of mitraClip: What if the annuloplasty ring is missed?

Michele De Bonis, Elisabetta Lapenna, Alberto Pozzoli, Andrea Giacomini, Ottavio Alfieri

Research output: Contribution to journalArticlepeer-review

Abstract

The surgical edge-to-edge technique should always be combined with prosthetic ring annuloplasty in order to provide excellent long-term outcomes in patients with degenerative mitral regurgitation. The overall longterm results of the surgical edge-to-edge technique without annuloplasty are not satisfactory. The ringless edge-to-edge technique is not effective in the challenging setting of extensively calcified annulus. In patients without annular calcification, in whom annuloplasty was intentionally avoided, the ringless edge-to-edge repair provides acceptable results in the mid term but is associated with a high failure rate in the long term. In the MitraClip perspective, these findings emphasize the need for a reliable annuloplasty to improve the long-term outcomes of the currently available transcatheter edge-to-edge procedure.

Original languageEnglish
Pages (from-to)155-160
Number of pages6
JournalCurrent Opinion in Cardiology
Volume30
Issue number2
DOIs
Publication statusPublished - Mar 1 2015

Keywords

  • Annuloplasty
  • Edge-to-edge technique
  • Mitral regurgitation
  • Mitral repair

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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