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Review
. 2017 Jul 13:9:1179065217719023.
doi: 10.1177/1179065217719023. eCollection 2017.

Mitral Valve Replacement-Current and Future Perspectives

Johan van der Merwe  1 , Filip Casselman  1
Affiliations
Review

Mitral Valve Replacement-Current and Future Perspectives

Johan van der Merwe et al. Open J Cardiovasc Surg. .

Abstract

The favorable outcomes achieved with modern mitral valve repair techniques redefined the role of mitral valve replacement. Various international databases report a significant decrease in replacement procedures performed compared with repairs, and contemporary guidelines limit the application of surgical mitral valve replacement to pathology in which durable repair is unlikely to be achieved. The progressive paradigm shift toward endoscopic and robotic mitral valve surgery is also paralleled by rapid developments in transcatheter devices, which is progressively expanding from experimental approaches to becoming clinical reality. This article outlines the current role and future perspectives of contemporary surgical mitral valve replacement within the context of mitral valve repair and the dynamic evolution of exciting transcatheter alternatives.

Keywords: Mitral valve replacement.

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Conflict of interest statement

Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Examples of current Food and Drug Administration–approved mitral valve prostheses: (A) Medtronic Hall tilting disk, (B) On-X, (C) St. Jude Medical, (D) Carpentier-Edwards Perimount, (E) Mosaic, and (F) Hancock II.
Figure 2.
Figure 2.
Endoscopic mitral valve surgery using long-shaft instruments and peripheral cannulation.
Figure 3.
Figure 3.
Examples of percutaneous mitral valve replacement prosthesis: (A) CardiAQ and (B) Tendyne.
See this image and copyright information in PMC

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