Mitral valve repair in heart failure.
Mitral regurgitation (MR) is a frequent complication of end-stage heart failure. Historically, these patients were either managed medically or with mitral valve replacement, both associated with poor outcomes. Mitral valve repair via an 'undersized' annuloplasty repair is safe and effectively corrects MR in heart-failure patients. All of the observed changes contribute to reverse remodeling and restoration of the normal left-ventricular geometric relationship. Mitral valve repair offers a new strategy for patients with MR and end-stage heart failure.
Smolens
I A
IA
The University of Michigan, Section of Cardiac Surgery, Taubman Health Care Center, 2120D, Box 0348, 1500 E Medical Center Drive, Ann Arbor, MI 48109-0348, USA.
Pagani
F D
FD
Bolling
S F
SF
D005500:Follow-Up Studies; D006333:Heart Failure / Q000150:complications* / Q000401:mortality; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007430:Intraoperative Care; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome