Early mitral valve repair surgery versus active surveillance in asymptomatic severe primary mitral regurgitation—insights from the Dutch AMR registry
After 5.1 years, half of the active surveillance patients required facilitated surgery, with comparable postoperative outcomes to early surgery. Clinical endpoints were comparable between the early and facilitated surgery strategies. There were no differences in baseline additional testing parameters, suggesting no clear targets for upfront stratificatio. Thus, shared decision making weighing the different risks can be used to determine the strategy per patient.
Authors
- Jeroen Elassaiss Schaap
- Jolanda Kluin (ORCID: https://orcid.org/0000-0002-5942-4727)
- Einar A. Hart (ORCID: https://orcid.org/0000-0003-4905-036X)
- Annemieke Wind
- Rosemarijn Jansen
- Chamuleau Sa
- M. L. Bots
- Lodewijk J. Wagenaar
- Sebastian Streukens
- Mohamed Bentala
- Sulayman El Mathari
- Maarten J Cramer
- S Matthijs Boekholdt
Institutions
- Maastricht University Medical Centre (NL)
- Medisch Spectrum Twente (NL)
- Erasmus MC (NL)
- University Medical Center Utrecht (NL)
- Werkgroep Cardiologische centra Nederland (NL)
- St. Antonius Ziekenhuis (NL)
- Amphia Ziekenhuis (NL)
- Diakonessenhuis hospital (NL)
- Amsterdam Neuroscience (NL)
- Amsterdam University Medical Centers (NL)
- University of Amsterdam (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Publication Details
- Journal
- Netherlands Heart Journal
- Published
- 2026-02-09
- DOI
- https://doi.org/10.1007/s12471-025-02015-5
- Citations
- 1
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 30.07