title: Degenerative mitral valve disease-contemporary surgical approaches and repair techniques.
abstract: Given the increasing age of the US population and the accompanying rise in cardiovascular disease, we expect to see an increasing number of patients affected by degenerative mitral valve disease in a more complex patient population. Therefore, increasing the overall rate of mitral valve repair will become even more important than it is today, and the capability to provide a universally and uniformly accepted quality of repair will have important medical, economic, and societal implications. This article will describe preoperative and intraoperative considerations and the currently practiced mitral valve repair approaches and techniques. The aim of the article is to present our contemporary approach to mitral valve repair in the hope that it can be adopted at other institutions that may have low repair rates. Adoption of simple and reproducible mitral valve repair techniques is of paramount importance if we as a profession are to accomplish overall higher rates of mitral valve repair with optimal outcomes.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Marijan
authors.initials: M
authors.lastname: Koprivanac
authors.affiliation: Department of Cardiothoracic Anesthesiology, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Marta
authors.initials: M
authors.lastname: Kelava
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Shehab
authors.initials: S
authors.lastname: Alansari
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Hoda
authors.initials: H
authors.lastname: Javadikasgari
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Bassman
authors.initials: B
authors.lastname: Tappuni
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Mick
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Gillinov A
authors.initials: GA
authors.lastname: Marc
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Abu Dhabi, United Arab Emirates.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Suri
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Abu Dhabi, United Arab Emirates.
authors.forename: Tomislav
authors.initials: T
authors.lastname: Mihaljevic
keywords: Mitral valve repair; degenerative mitral valve disease; mitral valve repair surgical techniques