Abstract
In this issue of The Annals of Thoracic Surgery, Kim and colleagues1 report a 25-year experience with 792 patients with degenerative disease who underwent mitral valve repair, finding that 24% had late functional mitral stenosis (FMS). In a propensity-matched comparison, they found that use of a small annuloplasty ring (<30 mm) was associated with an increased risk of FMS. They demonstrated that patients with FMS developed more late atrial fibrillation, developed more late tricuspid valve insufficiency, required more reoperations, and had worse long-term survival.
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