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MINERVA CARDIOANGIOLOGICA

Rivista sulle Malattie del Cuore e dei Vasi


Official Journal of the Italian Society of Angiology and Vascular Pathology
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  INTERVENTIONAL CARDIOVASCULAR PROCEDURES


Minerva Cardioangiologica 2014 June;62(3):251-9

lingua: Inglese

Transcatheter mitral direct annuloplasty: state of the art

Maisano F. 1, Kuck K. H. 2

1 Division of Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland;
2 Division of Cardiology, AK St. Georg Hospital, Hamburg, Germany


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Transcatheter mitral interventions are emerging as a novel therapy for patients with severe symptomatic mitral regurgitation who are deemed to be high risk or inoperable. Surgical treatment of mitral regurgitation includes a wide spectrum of therapies, ranging from leaflet and annular repair, to mitral valve replacement. Annuloplasty plays a fundamental role in open heart mitral valve repair, since it is associated with longer durability and higher degree of mitral regurgitation reduction. Direct annuloplasty is the interventional methodology most closely reproducing open heart annular repair. We describe the challenges and opportunities of the most promising technologies currently under development which will become available in clinical practice in the next future.

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francesco.maisano@usz.ch