We read with interest Dr. David’s commentary [1] about our recently published paper entitled ‘Transapical beating heart mitral valve repair versus conventional surgery: a propensity-matched study’ [2]. We would like to clarify some aspects that in our opinion are crucial. We are afraid that Dr. David missed one of the key points of our study that, despite its intrinsic limitations that limit the generalizability of our results, shows that in patients with favourable anatomy (prolapse of the P2 segment), there seem to be no differences in terms of freedom from recurrent mitral regurgitation and of freedom from reoperation. Therefore, despite the worse outcomes in the overall population (this is what Dr. David refers to in his commentary), in well-selected patients, transapical beating heart mitral valve repair with neochords implantation (NC) provides similar outcomes to conventional surgery up to 5 years.
D'Onofrio, A., Gerosa, G. (2022). A word to the wise …. INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 35(5) [10.1093/icvts/ivac252].
A word to the wise …
D'Onofrio, A
Writing – Original Draft Preparation
;
2022-01-01
Abstract
We read with interest Dr. David’s commentary [1] about our recently published paper entitled ‘Transapical beating heart mitral valve repair versus conventional surgery: a propensity-matched study’ [2]. We would like to clarify some aspects that in our opinion are crucial. We are afraid that Dr. David missed one of the key points of our study that, despite its intrinsic limitations that limit the generalizability of our results, shows that in patients with favourable anatomy (prolapse of the P2 segment), there seem to be no differences in terms of freedom from recurrent mitral regurgitation and of freedom from reoperation. Therefore, despite the worse outcomes in the overall population (this is what Dr. David refers to in his commentary), in well-selected patients, transapical beating heart mitral valve repair with neochords implantation (NC) provides similar outcomes to conventional surgery up to 5 years.File | Dimensione | Formato | |
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