Valvular & structural heart disease
Population-Based Analysis of Late Outcomes of Mitral Valve Repair for Degenerative Mitral Valve Regurgitation
Authors' conclusion
Mitral valve repair for degenerative disease is durable with exceedingly low repeat operation and mortality up to 20 years of follow-up. There was also a low rate of subsequent development of significant tricuspid valve regurgitation.
Study context
- Population
- Olmsted County patients undergoing mitral valve repair for degenerative mitral regurgitation (Rochester Epidemiology Project), 1993–2018152 (99%) with echo follow-up
- Participants
- 153 patients
- Exposure
- Mitral valve repair vs age- and sex-matched US population
- Mitral valve repairn = 153
- Outcome
- Long-term mortality and durability of mitral valve repair
Main finding
As reported in the abstract
Severe mitral regurgitation at 9 years (probability)
4%
IQR: 3%–7%
Cumulative incidence of repeat mitral valve operation at 20 years
8%
n = 10
Observational data: associations, not effects.
Further findings
Severe tricuspid regurgitation · 10 years
- Probability of severe TR
- 5% (IQR: 4%-8%)
- No subsequent tricuspid valve operation performed
Original publication
Population-Based Analysis of Late Outcomes of Mitral Valve Repair for Degenerative Mitral Valve Regurgitation. JACC Adv. Published 26 December 2024. doi:10. 1016/ j. jacadv. 2024. 101398
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