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Mitral Valve Prolapse

Mitral Valve Prolapse Abstract Sir.—I enjoyed reading the excellent editorial by Allen1 on mitral valve prolapse (MVP). As a long-time student of this subject, I agree with almost everything he said (ie, that MVP may be primary or secondary2; that MVP is a result of ventriculovalvular disparity3; that endocarditis prophylaxis is indicated for patients with MVP whether or not the clicks are associated with a regurgitant murmur4; that the diagnosis of MVP should be based more on results of auscultation than on results of echocardiography5; and that the physician should, under all circumstances, avoid overdiagnosing MVP6). However, I disagree with his statement that mitral valve replacement is necessary if regurgitation is severe. Currently, mitral valve repair is the preferred form of surgical treatment for MVP with severe mitral valve regurgitation. In general, mitral valve repair is better than mitral valve replacement for the following reasons: (1) operative References 1. Allen HD. Mitral valve prolapse: back to the basics . AJDC . 1991;145:1095-1096. 2. Barlow JB, Cheng TO. Mitral valve billowing and prolapse . In: Cheng TO, ed. The International Textbook of Cardiology . Elmsford, NY: Pergamon Press Inc; 1987:497-524. 3. Cheng TO. Mitral valve prolapse . Dis Mon . 1987;33:481-534.Crossref 4. Cheng TO. Should antibiotic prophylaxis be recommended for all patients with mitral valve prolapse? Am J Cardiol . 1991;68:564.Crossref 5. Cheng TO. Office cardiology: controversies in the management of mitral valve prolapse . Mod Med . 1991;59:48-56. 6. Cheng TO. Mitral valve prolapse: a multidisciplinary concern . Hosp Physician . 1991;27:25-37. 7. Krayenbuchl HP. Surgery for mitral regurgitation: repair versus valve replacement . Eur Heart J . 1986;7:638-643. 8. Cheng TO. Mitral valve prolapse: when is it serious? Postgrad Med . 1990;88:93-100. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Mitral Valve Prolapse

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1992.02160190016006
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—I enjoyed reading the excellent editorial by Allen1 on mitral valve prolapse (MVP). As a long-time student of this subject, I agree with almost everything he said (ie, that MVP may be primary or secondary2; that MVP is a result of ventriculovalvular disparity3; that endocarditis prophylaxis is indicated for patients with MVP whether or not the clicks are associated with a regurgitant murmur4; that the diagnosis of MVP should be based more on results of auscultation than on results of echocardiography5; and that the physician should, under all circumstances, avoid overdiagnosing MVP6). However, I disagree with his statement that mitral valve replacement is necessary if regurgitation is severe. Currently, mitral valve repair is the preferred form of surgical treatment for MVP with severe mitral valve regurgitation. In general, mitral valve repair is better than mitral valve replacement for the following reasons: (1) operative References 1. Allen HD. Mitral valve prolapse: back to the basics . AJDC . 1991;145:1095-1096. 2. Barlow JB, Cheng TO. Mitral valve billowing and prolapse . In: Cheng TO, ed. The International Textbook of Cardiology . Elmsford, NY: Pergamon Press Inc; 1987:497-524. 3. Cheng TO. Mitral valve prolapse . Dis Mon . 1987;33:481-534.Crossref 4. Cheng TO. Should antibiotic prophylaxis be recommended for all patients with mitral valve prolapse? Am J Cardiol . 1991;68:564.Crossref 5. Cheng TO. Office cardiology: controversies in the management of mitral valve prolapse . Mod Med . 1991;59:48-56. 6. Cheng TO. Mitral valve prolapse: a multidisciplinary concern . Hosp Physician . 1991;27:25-37. 7. Krayenbuchl HP. Surgery for mitral regurgitation: repair versus valve replacement . Eur Heart J . 1986;7:638-643. 8. Cheng TO. Mitral valve prolapse: when is it serious? Postgrad Med . 1990;88:93-100.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jul 1, 1992

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