In patients undergoing surgical aortic valve replacement (SAVR) for severe aortic
stenosis (AS), guidelines generally recommend mitral valve repair or replacement for
patients with severe mitral regurgitation (MR), whereas the decision to intervene
in moderate MR is less certain.
1
Despite the fact that these indications to intervene on the mitral valve were derived
mainly from observational data and expert opinion, it is felt that the 2-fold increase
in surgical risk of a double valve intervention over a single AVR is justified when
severe MR is present but debatable when moderate MR is present.
2
With the emergence of transcatheter aortic valve replacement (TAVR) as a viable and
often preferable treatment strategy for patients with AS,
3
there is a growing need to reevaluate the role, timing, and mode of mitral valve
intervention for concomitant MR.To read this article in full you will need to make a payment
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References
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Article info
Publication history
Published online: December 28, 2019
Accepted:
December 11,
2019
Received:
December 6,
2019
Footnotes
See article by Miura et al., pages 1112–1120 of this issue.
See page 1004 for disclosure information.
Identification
Copyright
© 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
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Access this article on ScienceDirectLinked Article
- Clinical Impact of Preprocedural Moderate or Severe Mitral Regurgitation on Outcomes After Transcatheter Aortic Valve ReplacementCanadian Journal of CardiologyVol. 36Issue 7
