The edge-to-edge repair

The edge-to-edge is a relatively new technique to treat mitral regurgitation. First introduced in 1991, it has been widely used in patients with severe mitral regurgitation due to complex lesions, requiring demanding surgical techniques for correction or with expected low chan- ces of successful repair. This alternative surgical approach consists of anchoring the free edge of the diseased leaflet to the corresponding edge of the opposing leaflet. Because of its effectiveness and durability, the edge-to-edge technique can be a useful addition to the surgical armamentarium in mitral valve reconstruction. Surgical techniques, indications, results and controversial issues of this type of repair are reported and discussed.