<p>The rheumatic mitral disease represents a complex progressive disorder that affects young adults and causes severe morbidity and mortality. Valve replacement with a mechanical valve has been the traditional treatment for these patients. Valve replacement increases longevity but necessitates several lifestyle changes.&#xa0;Improved understanding of the pathophysiology of the disease and standardization of mitral repair techniques, renewed interest is now generated in repairing these complex valves. We review the existing evidence for the repairing rheumatic mitral valve and propose a practical and systematic approach to repair the valve to ensure higher success rates.</p>

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A reproducible step-by-step approach to the surgical repair of the Rheumatic mitral valve

  • Rajeshwara Krishna Prasad Adluri

摘要

The rheumatic mitral disease represents a complex progressive disorder that affects young adults and causes severe morbidity and mortality. Valve replacement with a mechanical valve has been the traditional treatment for these patients. Valve replacement increases longevity but necessitates several lifestyle changes. Improved understanding of the pathophysiology of the disease and standardization of mitral repair techniques, renewed interest is now generated in repairing these complex valves. We review the existing evidence for the repairing rheumatic mitral valve and propose a practical and systematic approach to repair the valve to ensure higher success rates.