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.
2022
Pubblicato
Rilevanza internazionale
Editoriale
Comitato scientifico
Settore MED/23
Settore MEDS-13/C - Chirurgia cardiaca
English
Con Impact Factor ISI
mitral valve repair; microinvasive cardiac surgery
D'Onofrio, A., Gerosa, G. (2022). A word to the wise …. INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 35(5) [10.1093/icvts/ivac252].
D'Onofrio, A; Gerosa, G
Articolo su rivista
File in questo prodotto:
File Dimensione Formato  
ivac252.pdf

accesso aperto

Tipologia: Versione Editoriale (PDF)
Licenza: Creative commons
Dimensione 158.3 kB
Formato Adobe PDF
158.3 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/397060
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact