Outcomes in Degenerative Mitral Regurgitation: Current State-of-the Art and Future Directions.

Abstract:

:Mitral regurgitation (MR) is the one of the most frequent valvular heart diseases in the developed world, often requiring surgical correction. Degenerative MR is the most common type of non-ischemic, organic MR in the western world. Since no medical treatment has been shown to be effective in preventing the consequences of volume overload in asymptomatic degenerative MR, risk stratification is essential. Currently, this is achieved using clinical and precisely quantified echocardiographic parameters, with newer technologies like cardiac magnetic resonance gaining increasing prominence. While surgical mitral repair, often performed using minimally invasive/robotic techniques, is the current gold-standard for definitive therapeutic management, there is rapid emergence of percutaneous techniques for mitral valve repair/replacement in cases of degenerative MR. This state-of-the-art-review will discuss the latest knowledge in the natural history, imaging, surgical and percutaneous therapies in patients with degenerative MR.

journal_name

Prog Cardiovasc Dis

authors

Desai MY,Grigioni F,Di Eusanio M,Saccocci M,Taramasso M,Maisano F,Suri RM,Gillinov AM

doi

10.1016/j.pcad.2017.10.005

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

370-385

issue

3

eissn

0033-0620

issn

1873-1740

pii

S0033-0620(17)30145-7

journal_volume

60

pub_type

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