Abstract

This work is supported by the “Ministerio de Economia, Industria y Competitividad” (MINECO) under projects DA2TOI (FIS2010-19860), SENSA (TEC2016-76021-C2-2-R), IDIVAL under project DiCuTen (INNVAL16/02) and the “Instituto de Salud Carlos III” (ISCIII) through projects FUSIODERM (DTS15/00238) and CIBERBBN and the co -financed by FEDER funds.

Highlights

  • Degenerative mitral valve disease, rheumatic mitral valve disease, endocarditis and ischemic mitral valve disease are the principal pathologies affecting the mitral valve and the valvar complex [1]

  • The procedure depends on the pathology itself and on the elements of the valve affected, but it is strongly influenced by the health conditions, risk factors and age of the patient

  • Mitral valve repair is preferred to mitral valve replacement as it reduces operative mortality [4]

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Summary

Introduction

Degenerative mitral valve disease, rheumatic mitral valve disease, endocarditis and ischemic mitral valve disease are the principal pathologies affecting the mitral valve and the valvar complex [1]. Mitral valve repair is preferred to mitral valve replacement as it reduces operative mortality [4]. All the affected valve components should be excised in the first intervention, as future reoperations increase the mortality rate considerably: around 5% mortality after the first intervention, 7% after the second and 17% after the third intervention. The reduction of the excised tissue, if under healthy conditions, improves the prognosis and reduces mortality rate. This is especially relevant in cases of endocarditis, affected by infection of the heart tissue, and rheumatic valve, where the cords and valve present calcium deposits and can be fully calcified tissue

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