Five-year outcomes of transcatheter mitral valve implantation and redo surgery for mitral prosthesis degeneration.
Trevor SimardJames W LloydJuan CrestanelloJeremy J ThadenMohamad AlkhouliMayra E GuerreroCharanjit S RihalMackram F EleidPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2022)
TMVR for degenerated mitral prostheses is associated with better early survival compared to SMVR despite a greater burden of comorbidities. In contrast, 5 year survival rates appear more favorable with SMVR, which may reflect the lower baseline risk of this population. Clinical, hemodynamic, and echocardiographic follow-up support the mid-term durability of TMVR for degenerated mitral prostheses. Further dedicated studies, however, are required to optimize outcomes in this challenging patient cohort and to navigate the choice of approach for each individual patient.
Keyphrases
- mitral valve
- left atrial
- left ventricular
- case report
- minimally invasive
- magnetic resonance
- coronary artery bypass
- heart failure
- type diabetes
- magnetic resonance imaging
- aortic stenosis
- atrial fibrillation
- aortic valve replacement
- adipose tissue
- risk factors
- case control
- insulin resistance
- ejection fraction
- decision making
- aortic valve