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March 31, 2026Journal of Thoracic and Cardiovascular Surgery1 citationsOpen Access

Unresolved issues in rheumatic mitral surgery: From calcification mapping to prosthesis-specific outcomes

WDWeikai DongQWQiang Wang

Key Result

A letter to the editor regarding rheumatic mitral surgery emphasizes the need for predictive models for residual regurgitation, prosthesis-specific outcomes, and detailed calcification mapping.

Structured PICO

P
Population
Patients with severe rheumatic mitral stenosis with more than mild regurgitation
I
Intervention
Mitral valve repair
C
Comparator
Mitral valve replacement
O
Outcome
Midterm survival

This letter emphasizes the importance of detailed anatomical mapping, prosthesis differentiation, and mechanistic subtyping to improve personalized surgical planning in rheumatic mitral valve disease.

Limitations

  • Lack of a formal risk model for postoperative residual or recurrent regurgitation
  • Failure to differentiate prosthesis type or anticoagulation-related outcomes
  • Lack of detailed analysis of calcification patterns
  • Failure to clarify mechanism-based subgroups of regurgitation
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Cite This Study

Dong et al. (2026) conducted a letter in Rheumatic mitral stenosis with regurgitation. A letter to the editor regarding rheumatic mitral surgery emphasizes the need for predictive models for residual regurgitation, prosthesis-specific outcomes, and detailed calcification mapping.

synapsesocial.com/papers/6a025ca7edf6f48138594849https://doi.org/10.1016/j.jtcvs.2026.02.020
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Valve characteristics and surgical options for severe rheumatic mitral stenosis with more than mild regurgitation: A dual-center retrospective study2026 · 2 citations
  2. 2Surgical outcome of mitral valve surgery in atrial functional mitral regurgitation compared with degenerative etiology2024 · 9 citations
  3. 3Effects of mitral calcification in severe aortic stenosis with severe mitral regurgitation on left heart remodeling, surgical strategy, and outcomes2024 · 4 citations
  4. 4Predictors and prognosis of mild regurgitation after rheumatic mitral valve repair: A dual-center cohort analysis on the basis of cardiac computed tomography2025 · 4 citations
  5. 5Mitral valve repair versus bioprosthetic replacement outcomes in patients with rheumatic disease over 60: Propensity score–matching results2025 · 4 citations