Review Articles
The Role of the Edge-to-Edge Repair in the Surgical Treatment of Mitral Regurgitation
Ottavio Alfieri M.D.,
Michele De Bonis M.D.,
Ottavio Alfieri M.D.
Department of Cardiac Surgery, San Raffaele University Hospital, Milan, Italy
Search for more papers by this authorMichele De Bonis M.D.
Department of Cardiac Surgery, San Raffaele University Hospital, Milan, Italy
Search for more papers by this authorOttavio Alfieri M.D.,
Michele De Bonis M.D.,
Ottavio Alfieri M.D.
Department of Cardiac Surgery, San Raffaele University Hospital, Milan, Italy
Search for more papers by this authorMichele De Bonis M.D.
Department of Cardiac Surgery, San Raffaele University Hospital, Milan, Italy
Search for more papers by this authorAddress for correspondence: Ottavio Alfieri, M.D., Department of Cardiac Surgery, San Raffaele University Hospital, Via Olgettina 60, 20132 Milan, Italy. Fax: +41-02-26437125; e-mail: [email protected]
Conflict of interest: None.
Abstract
Abstract The edge-to-edge (E-to-E) technique was introduced in the early 1990s and has provided a useful contribution to the surgical armamentarium of mitral valve repair. The free edges of the mitral leaflets have to be approximated in correspondence of the site of the regurgitant jet in such a way that mitral regurgitation is corrected without producing stenosis. A prosthetic ring is usually implanted to stabilize the repair. Middle- and long-term surgical results are now available. Appropriate indications and awareness of the important technical aspects of the procedure are prerequisites for a good outcome. In this review the present role of the E-to-E repair, the relevant technical aspects of the procedure, and some controversial issues will be outlined and discussed. (J Card Surg 2010;25:536-541)
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