Rheumatic mitral valve repair remains challenging in reconstructive valve surgery. Although rerepair is even more demanding, growing evidence of improved early outcomes, quality of life, and survival provides a compelling argument for offering this strategy, despite the potentially higher risk of reoperation.
This is particularly important in younger patients, in whom the lifelong risks associated with mechanical valve replacement—including bleeding, valve thrombosis, systemic embolization, and infective endocarditis—accumulate over time.
Overview
This video shows the modes of failure of rheumatic mitral valve repair, patient selection, and a stepwise approach to successful redo mitral valve repair in rheumatic disease. Through a series of representative cases, this video highlights the different techniques used within a systematic anatomical approach and demonstrates that redo rheumatic mitral valve repair is safe, feasible, and effective when carefully planned and meticulously executed.
References
- Zhong Z, Xu H, Song W, Liu S. Re-repair vs. Replacement for Failed Mitral Valve Repair: A Systemic Review and Meta-Analysis. Front Cardiovasc Med. 2022 Jun 14;9:868980. doi: 10.3389/fcvm.2022.868980. PMID: 35774370; PMCID: PMC9237322.
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