title: Institutional and national trends in isolated mitral valve surgery over the past decade.
abstract: OBJECTIVE
  To review trends in practice for mitral valve surgery in the US over the past decade.
  
  
  RESULTS
  Advances in the understanding of mitral valve pathophysiology and the technology involved with mitral valve surgery have led to significant changes of the current practice for mitral valve surgery, with mitral valve repair being the technique of choice. Mitral valve repair is currently applied to close to 60% of patients having surgery for mitral valve disease in the US. This trend in the change of practice also contributed to a sharp decrease in the use of mechanical mitral valve prosthesis even in the younger population.
  
  
  CONCLUSIONS
  Current practice for mitral valve surgery in the US reflects a steady increase in performed procedures over the last decade. The increased use of mitral valve repair techniques to address mitral valve disease can be related to increased surgical experience and greater understanding of the pathophysiology of mitral valve disease as well as the improved outcome related to mitral valve repair.
authors.affiliation: Inova Heart and Vascular Institute, Falls Church, Virginia 22042, USA. Niv.Ad@Inova.com
authors.forename: Niv
authors.initials: N
authors.lastname: Ad
authors.forename: Scott D
authors.initials: SD
authors.lastname: Barnett
authors.forename: Alan M
authors.initials: AM
authors.lastname: Speir
authors.forename: Paul S
authors.initials: PS
authors.lastname: Massimiano
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000639:trends; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D014481:United States