Percutaneous and minimally invasive approaches to mitral valve repair for severe mitral regurgitation-new devices and emerging outcomes

Fadi E. Shamoun, Ryan C. Craner, Rita Von Seggern, Gerges Makar, Harish Ramakrishna

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Mitral valve disease is common in the United States and around the world, and if left untreated, increases cardiovascular morbidity and mortality. Mitral valve repair is technically more demanding than mitral valve replacement. Mitral valve repair should be considered the first line of treatment for mitral regurgitation in younger patients, mitral valve prolapse, annular dilatation, and with structural damage to the valve. Several minimally invasive percutaneous treatment options for mitral valve repair are available that are not restricted to conventional surgical approaches, and may be better received by patients. A useful classification system of these approaches proposed by Chiam and Ruiz is based on anatomic targets and device action upon the leaflets, annulus, chordae, and left ventricle. Future directions of minimally invasive techniques will include improving the safety profile through patient selection and risk stratification, improvement of current imaging and techniques, and multidisciplinary education.

Original languageEnglish (US)
Pages (from-to)528-536
Number of pages9
JournalAnnals of Cardiac Anaesthesia
Volume18
Issue number4
DOIs
StatePublished - Oct 1 2015

Fingerprint

Mitral Valve Insufficiency
Mitral Valve
Equipment and Supplies
Mitral Valve Prolapse
Patient Selection
Heart Ventricles
Dilatation
Morbidity
Safety
Education
Mortality
Therapeutics

Keywords

  • Minimally invasive techniques
  • Mitral valve repair
  • Morbidity
  • Mortality
  • Multidisciplinary education
  • Risk stratification

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Percutaneous and minimally invasive approaches to mitral valve repair for severe mitral regurgitation-new devices and emerging outcomes. / Shamoun, Fadi E.; Craner, Ryan C.; Von Seggern, Rita; Makar, Gerges; Ramakrishna, Harish.

In: Annals of Cardiac Anaesthesia, Vol. 18, No. 4, 01.10.2015, p. 528-536.

Research output: Contribution to journalArticle

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