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Mitral regurgitation: challenges and solutions

Authors Ejiofor J, Cohn L, Kaneko T

Received 19 March 2015

Accepted for publication 13 October 2015

Published 3 May 2016 Volume 2016:7 Pages 61—67


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Richard Kones

Julius I Ejiofor, Lawrence Cohn, Tsuyoshi Kaneko

Division of Cardiac Surgery, Brigham and Women’s Hospital, Boston, MA, USA

Lawrence Cohn passed away on January 9, 2016

Abstract: Since the first mitral valvuloplasty in 1923, the technique of mitral valvuloplasty has matured over the years and now has become the first-line treatment, especially in patients with myxomatous mitral regurgitation (MR). We have highlighted some of the major problems that are encountered with the various etiologies of MR. We believe that repair is always the optimal surgical procedure for any of the above etiologies if it is consistent with a long-term result. However, replacement has shown to be a safer procedure in some instances such as severe functional MR or destructive endocarditis.

Keywords: mitral regurgitation, mitral valvuloplasty, systolic anterior motion, functional mitral regurgitation, rheumatic valve disease

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