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European Journal of Heart Failure 2000 2(4):365-371; doi:10.1016/S1388-9842(00)00125-2
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© 2000 European Society of Cardiology

Mitral valve repair in heart failure

Iva A. Smolens, Francis D. Pagani and Steven F. Bolling*

The University of Michigan, Section of Cardiac Surgery, Taubman Health Care Center 2120D, Box 0348, 1500 E Medical Center Drive, Ann Arbor, MI 48109-0348, USA

* Corresponding author. Tel.: +1-734-936-4981; fax: +1-734-764-2255. E-mail address: sbolling{at}umich.edu (S.F. Bolling).


  Abstract

Mitral regurgitation (MR) is a frequent complication of end-stage heart failure. Historically, these patients were either managed medically or with mitral valve replacement, both associated with poor outcomes. Mitral valve repair via an ‘undersized’ annuloplasty repair is safe and effectively corrects MR in heart-failure patients. All of the observed changes contribute to reverse remodeling and restoration of the normal left-ventricular geometric relationship. Mitral valve repair offers a new strategy for patients with MR and end-stage heart failure.

Key Words: Mitral regurgitation (MR) • Mitral valve repair • Annuloplasty

Received September 6, 1999; Revised October 7, 1999; Accepted September 12, 2000


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