Prosthetic ring choice in secondary mitral regurgitation

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Disappointing results seen with mitral valve replacement for functional regurgitation led surgeons to attempt valve repair to preserve left ventricular geometry. Secondary regurgitation is due to left ventricular pathology which often distorts the mitral annulus (Schmitto et al., Cardiol Rev 18(6):285–291, 2010). Bolling and colleagues first popularized mitral valve repair using an undersized mitral annuloplasty in the 1990s to address this pathology (Bach and Bolling, Am Heart J 129(6):1165–1170, 1995; Bolling et al., J Thorac Cardiovasc Surg 109(4):676–682, 1995; Bolling et al., J Thorac Cardiovasc Surg 115(2):381–386, 1998). Although Bolling’s initial cases were done using a down-sized fl exible band, practically every other method of annuloplasty has been employed, ranging from suture methods, pericardium, flexible rings and bands, semirigid bands, complete symmetrical rings and specially shaped rings. Although, choice of ring has been historically driven by surgeon preference, critical examination of pathophysiological principles and clinical data allow formulation of certain concepts regarding optimal ring choice for treatment of secondary mitral valve regurgitation.

Original languageEnglish
Title of host publicationSecondary Mitral Valve Regurgitation
PublisherSpringer-Verlag London Ltd
Number of pages7
ISBN (Electronic)9781447164883
ISBN (Print)9781447164876
StatePublished - 1 Jan 2015


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