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Interventional vs. surgical mitral valve therapy

Which technique for which patient?

Interventionelle vs. chirurgische Mitralklappentherapie Therapie

Welche Technik für welchen Patienten?

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Abstract

Mitral regurgitation (MR) is the most frequent valvular heart disease in developed countries. Surgical repair represents the optimal treatment for severe degenerative MR; however, surgical correction of functional MR is controversial. The Euro Heart Survey showed that up to 50 % of patients with severe MR are today denied surgical treatment. Therefore, new transcatheter techniques have been developed to treat MR with less invasive approaches. Currently, the device with the widest clinical use is the MitraClip System. In this scenario, a multidisciplinary team approach is key in providing optimal individually tailored treatment for patients with MR.

Zusammenfassung

Die Mitralklappeninsuffizienz (MI) ist der häufigste Herzklappenfehler in den Industrieländern. Die chirurgische Korrektur stellt die optimale Behandlung für die schwere degenerative MI dar; im Gegensatz dazu ist die chirurgische Korrektur der funktionellen MI umstritten. Der Euro Heart Survey zeigte, dass heute bis zu 50 % der Patienten mit schwerer MI eine chirurgische Behandlung verwehrt bleibt. Deshalb wurden neue Transkathetertechniken entwickelt, um MI minimalinvasiv zu behandeln. Die größte klinische Erfahrung liegt für den Einsatz des MitraClip-Systems vor. In diesem Szenario ist die Falldiskussion in einem interdisziplinären Team der Schlüssel, um die optimale maßgeschneiderte Behandlung für den einzelnen Patienten mit MI zu gewährleisten.

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Conflict of interest

On behalf of all authors, the corresponding author states that the following: Dr. Maisano is consultant for Abbot Vascular.

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  1. Cardiac Surgery Department, San Raffaele Scientific Institute, via Olgettina 58, Milan, Italy

    M. Taramasso, N. Buzzatti, G. La Canna, A. Colombo, O. Alfieri & F. Maisano MD

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  1. M. Taramasso
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  2. N. Buzzatti
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  3. G. La Canna
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  4. A. Colombo
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  6. F. Maisano MD
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Correspondence to F. Maisano MD.

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Taramasso, M., Buzzatti, N., La Canna, G. et al. Interventional vs. surgical mitral valve therapy. Herz 38, 460–466 (2013). https://doi.org/10.1007/s00059-013-3859-2

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