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Ann Thorac Surg 2006;82:826-827
© 2006 The Society of Thoracic Surgeons

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Original article: Cardiovascular

Invited commentary

Plymouth Hospitals NHS Trust, Department of Cardiac Surgery, Derriford Hospital, Plymouth, Devon PL6 8DH United Kingdom

(Email: malcolm.dalrymple-hay@phnt.swest.nhs.uk).

The first 20% of the full text of this article appears below.

This is an interesting and important report [1] of a series of patients undergoing mitral valve surgery showing that mitral valve repair is of equivalent durability to mechanical mitral valve replacement. The authors have demonstrated that in their total experience the need for reoperation is significantly greater for patients who underwent repair for anterior mitral valve prolapse when compared with posterior or bi-leaflet prolapse. However more recently (1990–2000), as valve repair techniques have improved, the authors have demonstrated a significant reduction in the need for reoperation for patients who have isolated anterior mitral valve leaflet prolapse. This is now comparable with those patients who have posterior or . . . [Full Text of this Article]