GLOSSARY OF ABBREVIATIONS:MV (Mitral Valve), MVr (Mitral Valve Repair), MR (Mitral Regurgitation), DMVD (Degenerative Mitral Valve Disease), CMS (Centers for Medicare and Medicaid Services), STS (Society of Thoracic Surgeons), AHA (American Heart Association), ACC (American College of Cardiology), IQR (Interquartile Range), HR (Hazard Ratio), SHR (Sub-Hazard Ratio), OR (Odds Ratio), CI (Confidence Interval), SD (Standard Deviation), TTE (Transthoracic Echocardiogram), TEE (Transesophageal Echocardiogram), LVEF (Left Ventricular Ejection Fraction), TEER (Transcatheter Edge-to-Edge Repair), TMVR (Transcatheter Mitral Valve Repair)
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Informed Consent: Individual patient informed consent was waived by the IRB
Funding: This work did not receive any funding.
Conflict of Interest and Disclosures: The authors have no conflicts of interest or financial disclosures
This work was presented at the 48th Annual Meeting of the Western Thoracic Surgical Association on Saturday June 25th, 2022 in Koloa, Hawaii
CENTRAL PICTURE LEGEND: Survival, Reoperation, and MR Recurrence after MVr for DMVD in those < 60 or ≥ 60 years
CENTRAL MESSAGE: Surgical MVr results are excellent, even in patients over the age of 60. MV repair is associated with low mortality, low recurrence, and the need for MV reoperation, even in older patients, is uncommon.
PERSPECTIVE STATEMENT: MVr for DMVD is a nuanced operation aimed at normalizing valve function, but cannot halt the degenerative process. Since durability outcomes are not captured by national registries, we report our institutional outcomes of MVr and conclude there is no significant difference in the excellent outcomes after MVr with respect to survival and durability in patients older and younger than 60 years of age.
Conflict of Interest Statement
All authors have nothing to disclose with regard to commercial support.
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