Society of cardiothoracic surgery in great Britain and Ireland guidance for adult mitral valve disease and interventions

The Society of Cardiothoracic Surgery (SCTS) in Great Britain and Ireland provides comprehensive guidelines for the management of adult mitral valve disease, addressing both surgical and transcatheter interventions. These guidelines serve as a resource for healthcare professionals, supplementing exi...

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Main Authors: Rana Sayeed, Hunaid A Vohra, Narain Moorjani, Samuel Burton, Rashmi Yadav
Format: Article
Language:English
Published: BMJ Publishing Group 2025-07-01
Series:BMJ Surgery, Interventions, & Health Technologies
Online Access:https://sit.bmj.com/content/7/1/e000328.full
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author Rana Sayeed
Hunaid A Vohra
Narain Moorjani
Samuel Burton
Rashmi Yadav
author_facet Rana Sayeed
Hunaid A Vohra
Narain Moorjani
Samuel Burton
Rashmi Yadav
author_sort Rana Sayeed
collection DOAJ
description The Society of Cardiothoracic Surgery (SCTS) in Great Britain and Ireland provides comprehensive guidelines for the management of adult mitral valve disease, addressing both surgical and transcatheter interventions. These guidelines serve as a resource for healthcare professionals, supplementing existing clinical guidelines. They emphasize the evolving complexity of mitral valve disease management, influenced by the development of new technologies, ongoing research, and randomized trials.The guidelines detail a thorough methodology, incorporating an extensive literature review and evidence assessment conducted by a clinical guidelines team. They outline best practices of preinterventional patient assessment and indications of mitral interventions, while considering the management of patient comorbidities and concomitant diseases. Detailed repair techniques for mitral regurgitation and rheumatic valve disease are provided, along with a summary of indications for emerging transcatheter and hybrid procedures, including transcatheter edge-to-edge repair, transapical neo-chordee placement, transcatheter aortic valve mitral implantation, and percutaneous mitral annuloplasty. The guidelines address postoperative mitral complications and prosthesis considerations, including up-to-date recommendations for antithrombotic management.These guidelines aim to improve patient outcomes through detailed, evidence-based recommendations and encourage the development of specialized mitral MDTs within UK practice. They provide an educational resource, clarifying the implementation of recent technologies and supporting clinical decision-making in the management of adult mitral valve disease.
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issn 2631-4940
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series BMJ Surgery, Interventions, & Health Technologies
spelling doaj-art-38f7f7bc58914eccb09f3b1d9fc22a422025-08-20T03:32:20ZengBMJ Publishing GroupBMJ Surgery, Interventions, & Health Technologies2631-49402025-07-017110.1136/bmjsit-2024-000328Society of cardiothoracic surgery in great Britain and Ireland guidance for adult mitral valve disease and interventionsRana Sayeed0Hunaid A Vohra1Narain Moorjani2Samuel Burton3Rashmi Yadav4John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UKCardiothoracic Surgery, University Hospitals Bristol NHS Foundation Trust, Bristol, UKUniversity of Bristol, Bristol, UKBristol Heart Institute, Bristol, UKRoyal Brompton Hospital, London, UKThe Society of Cardiothoracic Surgery (SCTS) in Great Britain and Ireland provides comprehensive guidelines for the management of adult mitral valve disease, addressing both surgical and transcatheter interventions. These guidelines serve as a resource for healthcare professionals, supplementing existing clinical guidelines. They emphasize the evolving complexity of mitral valve disease management, influenced by the development of new technologies, ongoing research, and randomized trials.The guidelines detail a thorough methodology, incorporating an extensive literature review and evidence assessment conducted by a clinical guidelines team. They outline best practices of preinterventional patient assessment and indications of mitral interventions, while considering the management of patient comorbidities and concomitant diseases. Detailed repair techniques for mitral regurgitation and rheumatic valve disease are provided, along with a summary of indications for emerging transcatheter and hybrid procedures, including transcatheter edge-to-edge repair, transapical neo-chordee placement, transcatheter aortic valve mitral implantation, and percutaneous mitral annuloplasty. The guidelines address postoperative mitral complications and prosthesis considerations, including up-to-date recommendations for antithrombotic management.These guidelines aim to improve patient outcomes through detailed, evidence-based recommendations and encourage the development of specialized mitral MDTs within UK practice. They provide an educational resource, clarifying the implementation of recent technologies and supporting clinical decision-making in the management of adult mitral valve disease.https://sit.bmj.com/content/7/1/e000328.full
spellingShingle Rana Sayeed
Hunaid A Vohra
Narain Moorjani
Samuel Burton
Rashmi Yadav
Society of cardiothoracic surgery in great Britain and Ireland guidance for adult mitral valve disease and interventions
BMJ Surgery, Interventions, & Health Technologies
title Society of cardiothoracic surgery in great Britain and Ireland guidance for adult mitral valve disease and interventions
title_full Society of cardiothoracic surgery in great Britain and Ireland guidance for adult mitral valve disease and interventions
title_fullStr Society of cardiothoracic surgery in great Britain and Ireland guidance for adult mitral valve disease and interventions
title_full_unstemmed Society of cardiothoracic surgery in great Britain and Ireland guidance for adult mitral valve disease and interventions
title_short Society of cardiothoracic surgery in great Britain and Ireland guidance for adult mitral valve disease and interventions
title_sort society of cardiothoracic surgery in great britain and ireland guidance for adult mitral valve disease and interventions
url https://sit.bmj.com/content/7/1/e000328.full
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