The role of the “edge-to-edge” in mitral valve repair

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

In patients with mitral regurgitation (MR) secondary to ischemic or non-ischemic dilated cardiomyopathy, valve repair is usually performed by means of an undersized annuloplasty. This procedure leads to symptomatic improvement and reverse left ventricular (LV) remodeling in a substantial proportion of patients. However, the failure rate of undersized annuloplasty is still high and is mainly due to inappropriate patient selection and to technical issues which have been progressively identifi ed. Annuloplasty alone should only be carried out in the early phase of the disease before the occurrence of advanced LV remodeling and echocardiographic predictors of unfavourable outcome should be taken into account. Under certain circumstances, in particular when tethering is more pronounced, surgery should include additional procedures beside annuloplasty to enhance the durability of the repair. The edge-to-edge (EE) technique has been used in our Institution for this purpose. Herein we will report what we have learned over the years by using this method of repair as an adjunct to undersized annuloplasty in patients with functional mitral regurgitation.

Original languageEnglish
Title of host publicationSecondary Mitral Valve Regurgitation
PublisherSpringer-Verlag London Ltd
Pages117-122
Number of pages6
ISBN (Print)9781447164883, 9781447164876
DOIs
Publication statusPublished - Jan 1 2015

Fingerprint

Mitral Valve
Ventricular Remodeling
Mitral Valve Insufficiency
Dilated Cardiomyopathy
Patient Selection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Alfieri, O., & De Bonis, M. (2015). The role of the “edge-to-edge” in mitral valve repair. In Secondary Mitral Valve Regurgitation (pp. 117-122). Springer-Verlag London Ltd. https://doi.org/10.1007/9781447164883_13

The role of the “edge-to-edge” in mitral valve repair. / Alfieri, Ottavio; De Bonis, Michele.

Secondary Mitral Valve Regurgitation. Springer-Verlag London Ltd, 2015. p. 117-122.

Research output: Chapter in Book/Report/Conference proceedingChapter

Alfieri, O & De Bonis, M 2015, The role of the “edge-to-edge” in mitral valve repair. in Secondary Mitral Valve Regurgitation. Springer-Verlag London Ltd, pp. 117-122. https://doi.org/10.1007/9781447164883_13
Alfieri O, De Bonis M. The role of the “edge-to-edge” in mitral valve repair. In Secondary Mitral Valve Regurgitation. Springer-Verlag London Ltd. 2015. p. 117-122 https://doi.org/10.1007/9781447164883_13
Alfieri, Ottavio ; De Bonis, Michele. / The role of the “edge-to-edge” in mitral valve repair. Secondary Mitral Valve Regurgitation. Springer-Verlag London Ltd, 2015. pp. 117-122
@inbook{f8bf446ce4044e6f8ed46a570a0c4a04,
title = "The role of the “edge-to-edge” in mitral valve repair",
abstract = "In patients with mitral regurgitation (MR) secondary to ischemic or non-ischemic dilated cardiomyopathy, valve repair is usually performed by means of an undersized annuloplasty. This procedure leads to symptomatic improvement and reverse left ventricular (LV) remodeling in a substantial proportion of patients. However, the failure rate of undersized annuloplasty is still high and is mainly due to inappropriate patient selection and to technical issues which have been progressively identifi ed. Annuloplasty alone should only be carried out in the early phase of the disease before the occurrence of advanced LV remodeling and echocardiographic predictors of unfavourable outcome should be taken into account. Under certain circumstances, in particular when tethering is more pronounced, surgery should include additional procedures beside annuloplasty to enhance the durability of the repair. The edge-to-edge (EE) technique has been used in our Institution for this purpose. Herein we will report what we have learned over the years by using this method of repair as an adjunct to undersized annuloplasty in patients with functional mitral regurgitation.",
author = "Ottavio Alfieri and {De Bonis}, Michele",
year = "2015",
month = "1",
day = "1",
doi = "10.1007/9781447164883_13",
language = "English",
isbn = "9781447164883",
pages = "117--122",
booktitle = "Secondary Mitral Valve Regurgitation",
publisher = "Springer-Verlag London Ltd",

}

TY - CHAP

T1 - The role of the “edge-to-edge” in mitral valve repair

AU - Alfieri, Ottavio

AU - De Bonis, Michele

PY - 2015/1/1

Y1 - 2015/1/1

N2 - In patients with mitral regurgitation (MR) secondary to ischemic or non-ischemic dilated cardiomyopathy, valve repair is usually performed by means of an undersized annuloplasty. This procedure leads to symptomatic improvement and reverse left ventricular (LV) remodeling in a substantial proportion of patients. However, the failure rate of undersized annuloplasty is still high and is mainly due to inappropriate patient selection and to technical issues which have been progressively identifi ed. Annuloplasty alone should only be carried out in the early phase of the disease before the occurrence of advanced LV remodeling and echocardiographic predictors of unfavourable outcome should be taken into account. Under certain circumstances, in particular when tethering is more pronounced, surgery should include additional procedures beside annuloplasty to enhance the durability of the repair. The edge-to-edge (EE) technique has been used in our Institution for this purpose. Herein we will report what we have learned over the years by using this method of repair as an adjunct to undersized annuloplasty in patients with functional mitral regurgitation.

AB - In patients with mitral regurgitation (MR) secondary to ischemic or non-ischemic dilated cardiomyopathy, valve repair is usually performed by means of an undersized annuloplasty. This procedure leads to symptomatic improvement and reverse left ventricular (LV) remodeling in a substantial proportion of patients. However, the failure rate of undersized annuloplasty is still high and is mainly due to inappropriate patient selection and to technical issues which have been progressively identifi ed. Annuloplasty alone should only be carried out in the early phase of the disease before the occurrence of advanced LV remodeling and echocardiographic predictors of unfavourable outcome should be taken into account. Under certain circumstances, in particular when tethering is more pronounced, surgery should include additional procedures beside annuloplasty to enhance the durability of the repair. The edge-to-edge (EE) technique has been used in our Institution for this purpose. Herein we will report what we have learned over the years by using this method of repair as an adjunct to undersized annuloplasty in patients with functional mitral regurgitation.

UR - http://www.scopus.com/inward/record.url?scp=84955381707&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84955381707&partnerID=8YFLogxK

U2 - 10.1007/9781447164883_13

DO - 10.1007/9781447164883_13

M3 - Chapter

SN - 9781447164883

SN - 9781447164876

SP - 117

EP - 122

BT - Secondary Mitral Valve Regurgitation

PB - Springer-Verlag London Ltd

ER -