| Autor: |
Iaccarino, Alessandra, Giambuzzi, Ilaria, Galbiati, Denise, Cuko, Enea, Droandi, Ginevra, Forcina, Sara, Kushta, Eraldo, Basciu, Alessio, Barbone, Alessandro, Fumero, Andrea, Torracca, Lucia |
| Předmět: |
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| Zdroj: |
Medical Sciences; Sep2024, Vol. 12 Issue 3, p46, 12p |
| Abstrakt: |
This study evaluates the long-term outcomes of minimally invasive mitral valve repair (MIMVR) in patients with degenerative mitral regurgitation, focusing on survival, mitral valve repair failure, and re-operation rates. A cohort of patients undergoing three primary repair techniques—quadrangular resection, edge-to-edge repair, and artificial chordae implantation—was analyzed using time-to-event methods. The overall survival rates at 1, 10, and 20 years were high and comparable among the techniques, indicating effective long-term benefits of MIMVR. However, freedom from recurrence of moderate mitral regurgitation (MR) ≥ 2 was significantly higher in the quadrangular resection and edge-to-edge groups compared to the artificial chordae group. No significant differences were observed for recurrent MR ≥ 3. Re-operation rates were low and similar across all techniques, underscoring the durability of MIMVR. Pre-discharge residual MR ≥ 2 was identified as a strong predictor of long-term repair failure. These findings confirm the effectiveness of MIMVR, with all techniques demonstrating excellent long-term survival and durability. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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