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REVIEWS  CARDIAC SECTION - MITRAL VALVE SURGERY 

The Journal of Cardiovascular Surgery 2004 October;45(5):407-18

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Indications for mitral valve surgery

Carabello B. A. 1, 2

1 Department of Medicine Baylor College of Medicine, Houston, TX, USA 2 Veterans Affairs Medical Center, Houston, TX, USA


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The current indications for mitral valve surgery are summarized in this review. Remarkable advancements in surgical technique and in our ability to define the onset of ventricular dysfunction have led to increasingly liberal indications for mitral valve surgery. Mitral valve repair for mitral regurgitation (MR) might be employed in asymptomatic patients with normal left ventricular function if valve repair were almost certain while in patients with severe left ventricular dysfunction, where valve replacement with destruction of the valve apparatus is most unwise, successful repair can lead to an improved quality of life. However, much is left to be done: increased repair rate, better definition of the role of surgery in both ischemic and myopathic MR and the role of limited incision surgery are all on the exciting horizon of the future.

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