Evidence map›Paper›PMID 31106337›Full record

ReviewEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2019

Minimally invasive mitral valve repair for functional mitral regurgitation.

Evaldas Girdauskas, Jonas Pausch, Eva Harmel, Tatiana Gross, Christian Detter, Christoph Sinning, Jens Kubitz, Hermann Reichenspurner

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 36 citations in OpenAlex.

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  14. The treatment of heart failure: an ideal challenge for the heart team.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Evaldas GirdauskasDepartment of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany.
Jonas PauschDepartment of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany.
Eva HarmelDepartment of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany.
Tatiana GrossDepartment of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany.
Christian DetterDepartment of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany.
Christoph SinningDepartment of Cardiology, University Heart Center Hamburg, Hamburg, Germany.
Jens KubitzDepartment of Anesthesiology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Hermann ReichenspurnerDepartment of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany.
Universität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systolic heart failure is frequently accompanied by a relevant functional mitral valve regurgitation (FMR) which develops as a direct sequela of the ongoing left ventricular remodelling. The severity of mitral regurgitation is further aggravated by progressive left ventricular enlargement causing leaflet tethering and reduced systolic leaflet movement. The prognosis of such patients is obviously limited by an underlying left ventricular disease, and the correction of secondary FMR has been previously suggested as predominantly 'cosmetic' surgery in the setting of ongoing cardiomyopathy. Inferior results of an isolated annuloplasty in type IIIb FMR supported the philosophy of malignant course of progressive cardiomyopathy and resulted in increasingly restricted indications for mitral valve surgery for FMR in the guidelines. The lack of a standardized pathophysiological approach to correct type IIIb FMR led to the development of valve replacement strategy and edge-to-edge catheter-based mitral valve procedures, which became the most frequent procedures in the FMR setting in Europe. Modern mitral valve surgery combines the advantages of 3-dimensional endoscopic minimally invasive surgical approach with standardized subannular repair to address the pathophysiological background of type IIIb FMR. The perioperative results have been significantly improved, and there is a growing evidence of improved long-term stability of subannular repair procedures as compared to isolated annuloplasty. This review article aims to present the current state-of-the-art of the modern mitral valve surgery in FMR and provides suggestions for future trials analysing the potential advantages in these patients.

Indexed as

Minimally Invasive Surgical ProceduresHeart Valve ProsthesisHumansMitral ValveMitral Valve AnnuloplastyMitral Valve InsufficiencyPrognosisVentricular RemodelingFunctional mitral regurgitationMitral valve surgerySubannular repair

Identifiers

PMID31106337
PMCPMC6526096
OpenAlexW2945954951

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.