TY - JOUR
T1 - Edge-to-edge surgical mitral valve repair in the era of mitraClip
T2 - What if the annuloplasty ring is missed?
AU - De Bonis, Michele
AU - Lapenna, Elisabetta
AU - Pozzoli, Alberto
AU - Giacomini, Andrea
AU - Alfieri, Ottavio
PY - 2015/3/1
Y1 - 2015/3/1
N2 - 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.
AB - 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.
KW - Annuloplasty
KW - Edge-to-edge technique
KW - Mitral regurgitation
KW - Mitral repair
UR - http://www.scopus.com/inward/record.url?scp=84927752389&partnerID=8YFLogxK
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U2 - 10.1097/HCO.0000000000000148
DO - 10.1097/HCO.0000000000000148
M3 - Article
AN - SCOPUS:84927752389
VL - 30
SP - 155
EP - 160
JO - Current Opinion in Cardiology
JF - Current Opinion in Cardiology
SN - 0268-4705
IS - 2
ER -