The Surgical Management of Mitral Valve Disease

Abstract and Introduction

Abstract

We summarise the natural history and pathophysiology of mitral valve stenosis and regurgitation. The indications for surgery, and the various surgical options including mitral valvotomy, mitral valve repair and mitral valve replacement with bioprosthetic and mechanical valves are discussed. The results of surgery for mitral valve disease in the UK are summarised.

Introduction

This article describes the surgical approach to mitral regurgitation and mitral stenosis. It outlines how a knowledge of the natural history of these lesions, together with accurate prediction of operative risk for patient subgroups, enable the surgeon to decide in whom, how and when to operate.