All anterior and bileaflet mitral valve prolapses are repairable in the modern era of reconstructive surgery.
Javier G. Castillo, MD, Anelechi C. Anyanwu, MD, Ahmed El-Eshmawi, MD and David H. Adams, MD
Although recent data from various registries document that mitral valve repair has increased in frequency over the past decade, approximately 1 in 4 patients continue to undergo valve replacement [1]. While the techniques for repairing the prolapsing posterior leaflet are relatively well established [2], such that most experienced surgeons can repair over 95% of posterior leaflet prolapse, reproducible and systematic repair of the prolapsing anterior leaflet remains a challenge [3]. Almost all published series have documented the increased rates of valve replacement for isolated anterior (ALP) or bileaflet prolapse (BLP) as opposed to posterior leaflet prolapse [4-6]. Furthermore, repairs of anterior and bileaflet prolapse seem to be less durable than that for posterior leaflet prolapse [7]. We sought to clarify the current outcomes of mitral valve repair for ALP and BLP in an "all comers" population in a high-volume mitral reference centre.
Share
Publications
-
Failure to Rescue: A Quality Metric for Cardiac Surgery and Cardiovascular Critical Care
Caroline R Gross, David H Adams, Parth Patel, Robin Varghese -
In memoriam: Randall B. Griepp (1940-2022)
David H Adams, Dimosthenis Pandis -
Transcatheter Repair for Patients with Tricuspid Regurgitation
Paul Sorajja, MD, Brian Whisenant, MD, David H. Adams, MD, et al. -
Outcomes of Simultaneous Heart and Kidney Transplantation
Shinobu Itagaki, Nana Toyoda, Noah Moss, Donna Mancini, Natalia Egorova, Takahisa Mikami, Erick Sun, Yuki Bekki, Gregory Serrao, Anuradha Lala, Percy Boateng, David H Adams, Anelechi C Anyanwu