State of the Art in Mitral Valve Disease

A special issue of Journal of Cardiovascular Development and Disease (ISSN 2308-3425). This special issue belongs to the section "Cardiac Surgery".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 1247

Special Issue Editor


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Guest Editor
Department of Cardiac Surgery, Hôpital Européen Georges Pompidou, 75015 Paris, France
Interests: mitral valve repair techniques (resection vs no resection, long term results of mitral valve repair, robotic mitral repair, mitral and tricuspid repair, mitral repair failures why?)

Special Issue Information

Dear Colleagues,

Mitral valve disease is among the most prevalent valvular disorders, posing a significant challenge due to its high mortality and morbidity rates, especially as the global population ages. Recent advances in research and technology have shed new light on the mechanisms driving the disease, enabling earlier and more precise diagnosis, especially in our understanding of imaging and echocardiography, improved risk stratification, and optimized timing for interventions. Surgery remains the gold standard for treating primary mitral valve disease, and the debate is still going on with standard approaches as opposed to minimally invasive approaches, especially when dealing with long-term results. Percutaneous mitral valve repair and replacement are real noninvasive techniques and have demonstrated promising outcomes. Each treatment needs to be discussed with its pro and cons detailed.

This Special Issue will focus on the latest innovations in mitral valve disease management, from novel imaging modalities for early diagnosis to cutting-edge surgical and micro-invasive therapies. It will also highlight the evolving roles of cardiac anesthesiologists, intensivists, and cardiologists in perioperative care, which are increasingly important in achieving optimal patient outcomes. We invite full research submission "Articles" or comprehensive "Reviews" on these topics, offering a platform for forward-thinking approaches to mitral valve disease.

Prof. Dr. Gilles D. Dreyfus
Guest Editor

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Keywords

  • mitral valve pathophysiology and echocardiography
  • mitral valve stenosis
  • mitral valve regurgitation (primary, secondary, atrial ...)
  • standard vs minimally invasive mitral valve surgery
  • resection or no resection
  • TEER mitral valve “repair” or treatment
  • TEER mitral valve replacement: which prosthesis for which patient?
  • mitral valve replacement
  • mitral valve repair failures: why?
  • the future of mitral valve regurgitation

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Published Papers (1 paper)

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Review

16 pages, 2072 KiB  
Review
Papillary Muscles of the Left Ventricle: Integrating Electrical and Mechanical Dynamics
by Csilla Andrea Eötvös, Teodora Avram, Roxana Daiana Lazar, Iulia Georgiana Zehan, Madalina Patricia Moldovan, Patricia Schiop-Tentea, Giorgia Coseriu, Adriana Sarb, Gabriel Gusetu, Elena Buzdugan, Roxana Chiorescu, Diana Mocan-Hognogi, Sorin Pop, E. Kevin Heist and Dan Blendea
J. Cardiovasc. Dev. Dis. 2025, 12(1), 14; https://doi.org/10.3390/jcdd12010014 - 31 Dec 2024
Viewed by 942
Abstract
Background: Papillary muscles are structures integrated into the mitral valve apparatus, having both electrical and mechanical roles. The importance of the papillary muscles (PM) is mainly related to cardiac arrhythmias and mitral regurgitation. The aim of this review is to offer an overview [...] Read more.
Background: Papillary muscles are structures integrated into the mitral valve apparatus, having both electrical and mechanical roles. The importance of the papillary muscles (PM) is mainly related to cardiac arrhythmias and mitral regurgitation. The aim of this review is to offer an overview of the anatomy and physiology of the papillary muscles, along with their involvement in cardiovascular pathologies, including arrhythmia development in various conditions and their contribution to secondary mitral regurgitation. Methods: A literature search was performed on PubMed using the following relevant keywords: papillary muscles, mitral valve, arrhythmia, anatomy, and physiology. Results: During the cardiac cycle, papillary muscles have continuous dimensional and pressure changes. On one hand, their synchrony or dyssynchrony impacts the process of mitral valve opening and closure, and on the other hand, the pressure changes can trigger electrical instability. There is increased awareness of papillary muscles as an arrhythmic source. Arrhythmias arising from PM were found in patients with or without structural heart disease, via Purkinje fibres, due to increased automaticity or triggered activity. Conclusions: Despite the interest in mitral valve physiology, there are still many unknowns in relation to the papillary muscles, especially with regard to their role in arrhythmogenesis and the pathogenesis of mitral regurgitation. Full article
(This article belongs to the Special Issue State of the Art in Mitral Valve Disease)
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