Open AccessCurrent Perspectives on Contemporary Rheumatic Mitral Valve Repair
Author(s) -
Chaninda Dejsupa,
Taweesak Chotivatanapong,
Massimo Caputo,
Hunaid A. Vohra
Publication year - 2021
Publication title -
innovations
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.467
H-Index - 24
eISSN - 1559-0879
pISSN - 1556-9845
DOI - 10.1177/15569845211032942
Subject(s) - mindset , rheumatic disease , medicine , mitral valve repair , mitral valve , rheumatic fever , dynamism , mitral valve replacement , intensive care medicine , cardiology , disease , computer science , physics , artificial intelligence , quantum mechanics
The surgical management of rheumatic mitral valve disease remains a challenge for cardiac surgeons. Durability of mitral valve repair (MVr) is likely compromised not simply due to high technical demand, but surgeon reluctance, despite boasting copious advantages over MV replacement. This comprehensive review aims to evoke a deeper understanding of MVr concepts necessary to abate these limitations and shift mindset towards a more holistic approach to repair. Details of commonly utilized techniques in contemporary MVr for rheumatic heart disease will be discussed. Of importance, the reparative procedures will be mapped to an in-depth physiological exploration of the mitral complex-dynamism and rheumatic interplay. This is further emphasized by outlining the current “aggressive” resection strategy in contemporary rheumatic MVr.