Key findings
• The condition of predominant moderate aortic regurgitation could be ameliorated with the rheumatic mitral valve (MV) surgery.
What is known and what is new?
• During MV surgery, aortic valve replacement is recommended for patients with severe aortic valve dysfunction (AVD), while preventive aortic valve surgery does not result in better clinical and echocardiographic outcomes for patients with mild AVD.
• During rheumatic MV surgery, concomitant aortic valve surgery could result in better echocardiographic outcomes for patients with moderate AVD, while moderate predominant aortic regurgitation could be left untreated.
What is the implication, and what should change now?
• Delaying aortic valve surgery may be considered as an viable option for patients with moderate predominant aortic regurgitation during MV surgery.
Publication: Liu C, Wang M, Liu P, Liu J, Deng Q, Jiang W, Zhang H. Attitude towards a moderate aortic valve dysfunction during rheumatic mitral valve surgery: a retrospective cohort study. J Thorac Dis 2025;17(1):187-197. doi: 10.21037/jtd-24-1283
Journal of Thoracic Disease
Observational study
People
Attitude towards a moderate aortic valve dysfunction during rheumatic mitral valve surgery: a retrospective cohort study
22-Jan-2025
All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-24-1283/coif). M.W. received the support from Noncommunicable Chronic Disease-National Science and Technology Major Project (No. 2023ZD0514000), and the payments were made to Beijing An Zhen Hospital. W.J. received the support from Science and Technology Major Project of Beijing An Zhen Hospital (KCZD202203), and the payments were made to Beijing An Zhen Hospital. The other authors have no conflicts of interest to declare.