Adjunctive Techniques for Repair of Ischaemic Mitral Regurgitation
Ischaemic mitral regurgitation is a complex process with debate in the literature as to the optimal treatment pathway. Multiple therapies are available to alleviate mitral regurgitation including medical management, transcatheter edge-to-edge repair, mitral valve repair and mitral valve replacement....
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Radcliffe Medical Media
2021-12-01
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| Series: | Cardiac Failure Review |
| Online Access: | https://www.cfrjournal.com/articleindex/cfr.2021.06 |
| _version_ | 1797200061875093504 |
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| author | Sigrid L Johannesen Colin M Barker Melissa M Levack |
| author_facet | Sigrid L Johannesen Colin M Barker Melissa M Levack |
| author_sort | Sigrid L Johannesen |
| collection | DOAJ |
| description | Ischaemic mitral regurgitation is a complex process with debate in the literature as to the optimal treatment pathway. Multiple therapies are available to alleviate mitral regurgitation including medical management, transcatheter edge-to-edge repair, mitral valve repair and mitral valve replacement. Medical management with goal-directed therapy should be utilised in patients with heart failure and mild-to-moderate regurgitation. Transcatheter approaches are typically used in patients with prohibitive operative risk, although their use is expanding, especially in those with functional mitral regurgitation who are not responding to goal-directed medical therapy. It is generally accepted that patients with mild-to-moderate disease can avoid valve intervention if successful revascularisation is performed. A higher consideration should be given to valve replacement over repair in patients with severe mitral regurgitation in the setting of myocardial ischaemia. Operative course must be personalised to each patient, and continues to develop with improving technologies and ongoing research into optimal treatment. |
| first_indexed | 2024-03-07T17:41:09Z |
| format | Article |
| id | doaj.art-94a6af4efb344b41b01a5cf4ef2dac43 |
| institution | Directory Open Access Journal |
| issn | 2057-7540 2057-7559 |
| language | English |
| last_indexed | 2024-04-24T07:25:40Z |
| publishDate | 2021-12-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Cardiac Failure Review |
| spelling | doaj.art-94a6af4efb344b41b01a5cf4ef2dac432024-04-20T16:02:31ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592021-12-01710.15420/cfr.2021.06Adjunctive Techniques for Repair of Ischaemic Mitral RegurgitationSigrid L Johannesen0Colin M Barker1Melissa M Levack2Department of Cardiothoracic Surgery, Vanderbilt University Medical Centre, Nashville, TN, USSection of Interventional Cardiology, Vanderbilt University Medical Centre, Nashville, TN, USDepartment of Cardiac Surgery, Vanderbilt University Medical Centre, Nashville, TN, USIschaemic mitral regurgitation is a complex process with debate in the literature as to the optimal treatment pathway. Multiple therapies are available to alleviate mitral regurgitation including medical management, transcatheter edge-to-edge repair, mitral valve repair and mitral valve replacement. Medical management with goal-directed therapy should be utilised in patients with heart failure and mild-to-moderate regurgitation. Transcatheter approaches are typically used in patients with prohibitive operative risk, although their use is expanding, especially in those with functional mitral regurgitation who are not responding to goal-directed medical therapy. It is generally accepted that patients with mild-to-moderate disease can avoid valve intervention if successful revascularisation is performed. A higher consideration should be given to valve replacement over repair in patients with severe mitral regurgitation in the setting of myocardial ischaemia. Operative course must be personalised to each patient, and continues to develop with improving technologies and ongoing research into optimal treatment.https://www.cfrjournal.com/articleindex/cfr.2021.06 |
| spellingShingle | Sigrid L Johannesen Colin M Barker Melissa M Levack Adjunctive Techniques for Repair of Ischaemic Mitral Regurgitation Cardiac Failure Review |
| title | Adjunctive Techniques for Repair of Ischaemic Mitral Regurgitation |
| title_full | Adjunctive Techniques for Repair of Ischaemic Mitral Regurgitation |
| title_fullStr | Adjunctive Techniques for Repair of Ischaemic Mitral Regurgitation |
| title_full_unstemmed | Adjunctive Techniques for Repair of Ischaemic Mitral Regurgitation |
| title_short | Adjunctive Techniques for Repair of Ischaemic Mitral Regurgitation |
| title_sort | adjunctive techniques for repair of ischaemic mitral regurgitation |
| url | https://www.cfrjournal.com/articleindex/cfr.2021.06 |
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