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MitraClip (mitral clip) is a medical device used to treat mitral valve regurgitation for individuals who should not have open-heart surgery. It is implanted via a tri-axial transcatheter technique and involves suturing together the anterior and posterior mitral valve leaflets.
For patients with the most common type of mitral valve disease, termed "degenerative" or "myxomatous" mitral valve disease, repair rates are very high and long term durability is excellent. [4] There has been great debate about timing of surgery in patients with asymptomatic mitral valve regurgitation.
Mitral regurgitation, also known as mitral insufficiency or mitral incompetence, is the backward flow of blood from the left ventricle, through the mitral valve, and into the left atrium, when the left ventricle contracts, resulting in a systolic murmur radiating to the left armpit.
Bioprosthetic valves are made from animal tissues. Most people with bioprosthetic valves don’t need to take anticoagulants long term. However, bioprosthetic valves may only last 10–15 years. [11] They tend to deteriorate more quickly in younger patients. [11] Valve failure prevalence at 10 years is 30%, increasing to 35–65% at 15 years. [13]
Perioperative mortality has been defined as any death, regardless of cause, occurring within 30 days after surgery in or out of the hospital. [1] Globally, 4.2 million people are estimated to die within 30 days of surgery each year. [2]
The risk of POCD increases with age, and the type of surgery is also important because there is a very low incidence associated with minor surgery. [4] POCD is common in adult patients of all ages at hospital discharge after major noncardiac surgery, but only the elderly (aged 60 years or older) are at significant risk for long-term cognitive ...
Five-year survival rates can be used to compare the effectiveness of treatments. Use of five-year survival statistics is more useful in aggressive diseases that have a shorter life expectancy following diagnosis, such as lung cancer, and less useful in cases with a long life expectancy, such as prostate cancer.
Heart function often recovers very quickly after pericardiectomy is performed, [8] although the surgery itself can cause reduced cardiac output in the short term. [4] After surgery, many patients will have a chest drain to remove pericardial fluid. [2] Hospital recovery takes several days, with surgical suture removed after a week. [2]