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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]
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 ...
Mitral valve repair is a cardiac surgery procedure performed by cardiac surgeons to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve. The mitral valve is the "inflow valve" for the left side of the heart. Blood flows from the lungs, where it picks up oxygen, through the pulmonary veins, to the left atrium of the heart.
Valve replacement surgery is the replacement of one or more of the heart valves with either an artificial heart valve or a bioprosthesis (homograft from human tissue or xenograft e.g. from pig). It is an alternative to valve repair .
An artificial heart valve is a one-way valve implanted into a person's heart to replace a heart valve that is not functioning properly (valvular heart disease). Artificial heart valves can be separated into three broad classes: mechanical heart valves, bioprosthetic tissue valves and engineered tissue valves.
The mitral valve is typically 4 to 6 square centimetres (0.62 to 0.93 sq in) in area and sits in the left heart between the left atrium and the left ventricle. [5] It has two cusps: an anterior one, and a posterior one. [6] The opening of the mitral valve is surrounded by a fibrous ring known as the mitral annulus. The anterior cusp attaches to ...
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