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Percutaneous Repair or Surgery for Mitral Regurgitation
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Percutaneous Repair or Surgery for Mitral Regurgitation
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Journal Article
Percutaneous Repair or Surgery for Mitral Regurgitation
2011
Overview
This study compared a percutaneous, catheter-based method, in which a clip is placed to approximate the edges of the two mitral-valve leaflets, with conventional surgery. The procedure obviated the need for open-heart surgery in 80% of the patients who received it.
Severe mitral regurgitation is associated with progressive left ventricular dysfunction and congestive heart failure.
1
Without intervention, symptomatic patients have an annual rate of death of 5% or more.
1
–
3
Medical management alleviates symptoms but does not alter the progression of the disease.
2
Current guidelines recommend surgery for moderate-to-severe (grade 3+) or severe (4+) mitral regurgitation in patients with symptoms or evidence of left ventricular dysfunction.
4
–
6
One surgical approach for mitral-valve repair involves approximation of the mitral leaflets with suture to create a double orifice.
7
–
9
This procedure has been described for treatment of degenerative mitral regurgitation and is usually . . .
Publisher
Massachusetts Medical Society
Subject
/ Biological and medical sciences
/ Endocardial and cardiac valvular diseases
/ Female
/ Heart
/ Heart Failure - epidemiology
/ Heart Valve Prosthesis Implantation - methods
/ Humans
/ Male
/ Minimally Invasive Surgical Procedures
/ Mitral Valve Insufficiency - classification
/ Mitral Valve Insufficiency - mortality
/ Mitral Valve Insufficiency - surgery
/ Mitral Valve Insufficiency - therapy
/ Surgery
