Evidence map›Paper›PMID 42292099›Full record

ArticleJTCVS techniques2026

Long-term results of mitral valve repair using leaflet resection versus chordae replacement.

Miriam Lang, Leon Schmidt, Lucas Fernando Sarmiento Rios, Nina Feirer, Andrea Amabile, Arnar Geirsson, Tobias Rheude, Bernhard Voss, Markus Krane, Keti Vitanova

Abstract read
In one paragraph

Article in JTCVS techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Miriam LangDepartment of Cardiovascular Surgery, TUM University Hospital German Heart Center, TUM School of Medicine & Health, Technical University of Munich, Munich, Germany.
Leon SchmidtDepartment of Cardiovascular Surgery, TUM University Hospital German Heart Center, TUM School of Medicine & Health, Technical University of Munich, Munich, Germany.
Lucas Fernando Sarmiento RiosDepartment of Cardiovascular Surgery, TUM University Hospital German Heart Center, TUM School of Medicine & Health, Technical University of Munich, Munich, Germany.
Nina FeirerDepartment of Cardiovascular Surgery, TUM University Hospital German Heart Center, TUM School of Medicine & Health, Technical University of Munich, Munich, Germany.
Andrea AmabileDepartment of Cardiovascular Surgery, TUM University Hospital German Heart Center, TUM School of Medicine & Health, Technical University of Munich, Munich, Germany.
Arnar GeirssonSection of Cardiac Surgery, Department of Surgery, Columbia University, New York, NY.
Tobias RheudeDepartment of Cardiology, TUM University Hospital German Heart Center, TUM School of Medicine & Health, Technical University of Munich, Munich, Germany.
Bernhard VossDepartment of Cardiovascular Surgery, TUM University Hospital German Heart Center, TUM School of Medicine & Health, Technical University of Munich, Munich, Germany.
Markus KraneDepartment of Cardiovascular Surgery, TUM University Hospital German Heart Center, TUM School of Medicine & Health, Technical University of Munich, Munich, Germany.
Keti VitanovaDepartment of Cardiovascular Surgery, TUM University Hospital German Heart Center, TUM School of Medicine & Health, Technical University of Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The available data on long-term durability of mitral valve repair using chordae replacement versus leaflet resection for degenerative mitral regurgitation (MR) is contradictory. Although some studies report equal long-term durability, others demonstrate worse durability for chordae replacement. Methods: All consecutive patients receiving mitral valve repair using chordae replacement versus leaflet resection for degenerative MR from January 2003 to December 2010 at a high-volume single center were analyzed. Long-term survival, cumulative incidence of reoperation, and recurrent MR as well as echocardiographic follow-up were investigated. Results: In total, 658 patients were included. Median follow-up was 13.6 years (interquartile range, 9.5-16.0 years). Chordae replacement and leaflet resection were performed in 72.5% (n = 477) and 24.2% (n = 159) of cases, respectively. At unadjusted analysis, cases of leaflet resection tended to have worse survival when compared with cases of chordae replacement (66.3% ± 4.1% vs 77.2% ± 2.3% at 15 years; Conclusions: Mitral valve repair using chordae replacement was associated with slightly higher survival rates and significantly higher cumulative incidence of MR recurrence and reoperation when compared with mitral valve repair using leaflet resection.

Indexed as

chordae replacementleaflet resectionlong-term outcomesmitral valvemitral valve repair

Identifiers

PMID42292099
PMCPMC13261210

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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.