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RESPECT OR RESECT: A SINGLE STRATEGY DOES NOT FIT ALL
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  • Antonio Calafiore,
  • Gaetano Castellano,
  • Stefano Guarracini,
  • Massimo Di Marco,
  • Antonio Totaro,
  • Cosimo Sacra,
  • Kostas katsavrias,
  • Michele Di Mauro
Antonio Calafiore
John Paul II Foundation for Research and Treatment
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Gaetano Castellano
Gemelli Molise
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Stefano Guarracini
Private Hospital Pierangeli Srl
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Massimo Di Marco
Santo Spirito Hospital
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Antonio Totaro
Gemelli Molise
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Cosimo Sacra
Gemelli Molise
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Kostas katsavrias
Henry Dunant Hospital Center
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Michele Di Mauro
Maastricht UMC+
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Abstract

Mitral valve (MV) repair for mitral regurgitation (MR) due to posterior leaflet (PL) prolapse is achieved nowadays with a great success rate and a good survival, similar, in certain subgroups. In this paper, Sakaguchi et al describe their results in two groups of patients with PL prolapse. Some patients underwent resection (resection group) and others chordal replacement with/out limited resection (respect group). Results were similar in terms of survival and MR recurrence. Our goal is to eliminate, as much as possible, MR when a patient with degenerative MR is operated on. Reduction of the mitral orifice and consequently an increase of the transmitral gradient is the rule. MV repair for degenerative MR provides great results, but there is not a single surgical technique. A close evaluation of the anatomical findings will allow us to choose the best strategy for the individual patient. An open mind is the most important characteristic that a surgeon should have to repair a prolapsing PL without residual regurgitation and dangerous gradients.

Peer review status:ACCEPTED

20 Dec 2020Submitted to Journal of Cardiac Surgery
30 Dec 2020Assigned to Editor
30 Dec 2020Submission Checks Completed
30 Dec 2020Editorial Decision: Accept