Commentary: Indication Creep: Rebranding the Alfieri Stitch During Aortic Surgery

Significant mitral regurgitation (MR), frequently seen in the presence of severe aortic stenosis (AS), results in an association that negatively affects prognosis and imposes particular challenges for both the assessment of valvular lesions severity and decisions on treatment. Significant MR (grade ≥ 2) is present in ∼25-30% of patients treated for AS, while severe MR (grade 4) is seen ∼ 2-5%.1 The need for additional mitral valve (MV) surgery concomitant to surgical aortic valve replacement (SAVR) has shown perioperative mortality almost three-fold higher (9.4%) compared with isolated A VR (3.2 %).
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ADULT – Commentary Source Type: research