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[32] [33] Advantages of mitral valve repair over replacement include lower surgical mortality (~1% for repair vs ~5% for replacement [34]), lower rates of stroke and endocarditis (an infection of the heart’s inner lining), equivalent or better long‑term durability, [35] [36] [37] and improved long-term survival. [35]
The Mustard procedure improved an 80% mortality rate in the first year of life to an 80% survival at age 20. Long-term follow-up studies now extend to more than 40 years post-operation [ 4 ] and there are numerous patients thriving in their 50s.
A recent meta-analysis of randomized controlled trials by Amin et al (2024) showed that minimally invasive mitral valve surgery (MIMVS) reduced the number of days spent in the hospital and demonstrated a trend towards lower postoperative pain scores, but it did not decrease the risk of all-cause mortality or the number of patients needing blood ...
A mitral valve vegetation caused by bacterial endocarditis. ... and its mortality rate is 46.6–50%. ... Subsequent valve repair can be performed in limited disease. ...
The patient was a 12-year-old girl with rheumatic mitral stenosis who underwent mitral valve repair. This surgery was hailed as a milestone by the British Medical Journal. It proved to have a mortality rate of 90 percent and it was abandoned by Cutler in 1928. Surgical repair for mitral valve stenosis was not reattempted until 1945. [2] [3]
The treatment options for mitral stenosis include mitral valve replacement by surgery, and percutaneous mitral valvuloplasty by balloon catheter. [15] The indication for invasive treatment with either a mitral valve replacement or valvuloplasty is NYHA functional class III or IV symptoms. [citation needed] Another option is balloon dilatation. [16]
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