Association between early surgical intervention vs watchful waiting and outcomes for mitralregurgitation due to flail mitral valve leaflets.

Submitted by: Erica CurcioGold Contributor

Source: Journal of the American Medical Association

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Author(s): Suri RM, Vanoverschelde JL, Grigioni F, Schaff HV, Tribouilloy C, Avierinos JF, Barbieri A, Pasquet A, Huebner M, Rusinaru D, Russo A,Michelena HI, Enriquez-Sarano M.

In this retrospective study the authors compare the outcomes between early surgery and watchful waiting in a large group of patients with mitral regurgitation due to flail mitral leaflets and without  class I indication for surgery. Those patients who underwent early surgery had lower long term mortality and heart failure risk. There were no differences in the short term outcomes.

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