The Expanding Role of Mitral Valve Repair in Triple Valve Operations: Contemporary North American Outcomes in 8,021 Patients

This large series demonstrates that surgical results of triple-valve operations have continued to improve during the past 18 years. MV and TV repair were associated with improvements in early survival. Although further study is required to understand late outcomes, these data suggest that broader efforts to perform MV repair instead of replacement in this high-risk patient population appear warranted.