Long-term survival and preprocedural predictors of mortality in high surgical risk patients undergoing percutaneous mitral valve repair

2015 ◽  
Vol 87 (3) ◽  
pp. 467-475 ◽  
Author(s):  
Andreas S. Triantafyllis ◽  
Friso Kortlandt ◽  
Annelies L.M. Bakker ◽  
Martin J. Swaans ◽  
Frank D. Eefting ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Term Survival ◽  
Surgical Risk ◽  
Long Term Survival ◽  
Percutaneous Mitral Valve Repair ◽  
High Surgical Risk ◽  
Risk Patients

scholarly journals Post-procedural tricuspid regurgitation predicts long-term survival in patients undergoing percutaneous mitral valve repair

2019 ◽  
Vol 74 (6) ◽  
pp. 524-531 ◽  
Author(s):  
Marwin Bannehr ◽  
Ulrike Kahn ◽  
Maki Okamoto ◽  
Hidehiro Kaneko ◽  
Valentin Hähnel ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Tricuspid Regurgitation ◽  
Valve Repair ◽  
Term Survival ◽  
Long Term Survival ◽  
Percutaneous Mitral Valve Repair

scholarly journals Very Long-Term Survival and Durability of Mitral Valve Repair for Mitral Valve Prolapse

Circulation ◽  
2001 ◽  
Vol 104 (suppl_1) ◽  
Author(s):  
Dania Mohty ◽  
Thomas A. Orszulak ◽  
Hartzell V. Schaff ◽  
Jean-Francois Avierinos ◽  
Jamil A. Tajik ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Mitral Valve Prolapse ◽  
Reoperation Rate ◽  
Surgical Correction ◽  
Valve Repair ◽  
Term Survival ◽  
Long Term Survival ◽  
Leaflet Prolapse

Background Mitral regurgitation (MR) due to mitral valve prolapse (MVP) is often treatable by surgical repair. However, the very long-term (>10-year) durability of repair in both anterior leaflet prolapse (AL-MVP) and posterior leaflet prolapse (PL-MVP) is unknown. Methods and Results In 917 patients (aged 65±13 years, 68% male), surgical correction of severe isolated MR due to MVP (679 repairs and 238 replacements [MVRs]) was performed between 1980 and 1995. Survival after repair was better than survival after MVR for both PL-MVP (at 15 years, 41±5% versus 31±6%, respectively; P =0.0003) and AL-MVP (at 14 years, 42±8% versus 31±5%, respectively; P =0.003). In multivariate analysis adjusting for predictors of survival, repair was independently associated with lower mortality in PL-MVP (adjusted risk ratio [RR] 0.61, 95% CI 0.44 to 0.85; P =0.0034) and in AL-MVP (adjusted RR 0.67, 95% CI 0.47 to 0.96; P =0.028). The reoperation rate was not different after repair or MVR overall (at 19 years, 20±5% for repair versus 23±5% for MVR; P =0.4) or separately in PL-MVP ( P =0.3) or AL-MVP ( P =0.3). However, the reoperation rate was higher after repair of AL-MVP than after repair of PL-MVP (at 15 years, 28±7% versus 11±3%, respectively; P =0.0006). From the 1980s to the 1990s, the RR of reoperation after repair of AL-MVP versus PL-MVP did not change (RR 2.5 versus 2.7, respectively; P =0.58), but the absolute rate of reoperation decreased similarly in PL-MVP and AL-MVP (at 10 years, from 10±3% to 5±2% and from 24±6% to 10±2%, respectively; P =0.04). Conclusions In severe MR due to MVP, mitral valve repair compared with MVR provides improved very long-term survival after surgery for both AL-MVP and PL-MVP. Reoperation is similarly required after repair or replacement but is more frequent after repair of AL-MVP. Recent improvement in long-term durability of repair suggests that it should be the preferred mode of surgical correction of MVP whether it affects anterior or posterior leaflets and is an additional incentive for early surgery of severe MR due to MVP.

scholarly journals Percutaneous Edge-to-Edge Mitral Valve Repair in High-Surgical-Risk Patients

2012 ◽  
Vol 5 (1) ◽  
pp. 105-111 ◽  
Author(s):  
Ben J.L. Van den Branden ◽  
Martin J. Swaans ◽  
Martijn C. Post ◽  
Benno J.W.M. Rensing ◽  
Frank D. Eefting ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Surgical Risk ◽  
High Surgical Risk ◽  
Risk Patients
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