Mitral Repair is a highly technical cardiac procedure designed to restore mitral valve function, responsible for blood passage between the left atrium and left ventricle. The most frequent indication is for mitral regurgitation, in which the valve is incompetent and blood passes backward with potential for eventual heart failure unless treated.
Mitral repair is possible with conventional surgery or minimally invasive transcatheter methods, depending on patient risk strata and anatomical appropriateness. Surgical repair usually entails annuloplasty, leaflet resection, or chordal reconstruction, which preserve the original valve while reconstructing normal function. Transcatheter mitral repair, e.g., the MitraClip procedure, enables valve repair without open heart surgery, minimizing recovery time and procedural risk.
Patient assessment involves echocardiography, CT scanning, and risk stratification by a multidisciplinary heart team to establish the best course of action. The aim is to restore valve function, alleviate symptoms including shortness of breath and fatigue, and forestall the development of heart failure.
Results of mitral repair are very favorable, with maintained heart function, reduced complication rates over valve replacement, and improved survival in the long term. Refinements in imaging, device technology, and catheter-based therapies have increased options for repair, especially among patients who are not good candidates for surgery.
Mitral repair is a major innovation in structural heart procedures that provides effective, safe, and durable therapy for mitral valve disease. As innovation continues, it keeps on enhancing patient quality of life and long-term cardiovascular outcomes.