While clinical guidelines recommend mitral valve repair over replacement 1,2, too many patients who would benefit from repair receive replacement valves, with higher rates of death or complications within five years after surgery. In an effort to combat this, the Mitral Foundation and the American Heart Association® launched a joint recognition program to identify, award and promote the nation’s best medical centers for mitral valve repair surgery.
Numerous large-scale clinical outcomes studies show a strong correlation between the number of cases performed by experienced mitral valve surgeons and the resultant clinical outcomes 3,4,5,6,7,8,9,10,11,12. This recognition program uses volume, resource, and clinical performance measures to award these experienced hospitals and surgeons.
The first group of mitral valve repair reference centers are now being identified for recognition. If you are a patient interested in learning about recognized mitral valve repair reference centers, check back here soon to see the list of Mitral Valve Repair Reference Center Award recipients, as well as links to their websites and contact information.
If you are a surgeon, hospital, or center interested in applying for the Mitral Valve Repair Reference Center Award, click here to contact us and to learn about the award program and start the application process.
About the Mitral Valve Repair Reference Center Award
Born from a critical need for transparency and clarity, the Mitral Foundation and the American Heart Association created this Award to identify and recognize the nation’s best hospitals and surgeons for mitral valve repair surgery based on objective performance measures.
The Mitral Valve Repair Reference Center Award will:
- Recognize those centers that have a demonstrated record of superior clinical outcomes, as well as an ongoing commitment to reporting and measuring quality and outcome metrics specific to mitral valve repairs.
- Promote the availability of such Mitral Valve Repair Reference Centers, to improve geographic access for patients across the United States.
- 1. Nishimura R, Otto C, Bonow R et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017;135(25). https://doi.org/10.1161/cir.0000000000000503
- 2. Baumgartner H, Falk V, Bax J et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. European Heart Journal, Volume 38, Issue 36, 21 September 2017, Pages 2739–2791. https://doi.org/10.1093/eurheartj/ehx391
- 3. Badhwar V, Vemulapalli S, Mack M et al. Volume-Outcome Association of Mitral Valve Surgery in the United States. JAMA Cardiology 2020. https://doi.org/10.1001/jamacardio.2020.2221
- 4. Chikwe J, Toyoda N, Anyanwu A et al. Relation of Mitral Valve Surgery Volume to Repair Rate, Durability, and Survival. Journal of the American College of Cardiology 2017;69(19):2397-2406. https://doi.org/10.1016/j.jacc.2017.02.026
- 5. Vassileva C, McNeely C, Spertus J, Markwell S, Hazelrigg S. Hospital volume, mitral repair rates, and mortality in mitral valve surgery in the elderly: An analysis of US hospitals treating Medicare fee-for-service patients. The Journal of Thoracic and Cardiovascular Surgery 2015;149(3):762-768.e1. https://doi.org/10.1016/j.jtcvs.2014.08.084
- 6. LaPar D, Ailawadi G, Isbell J et al. Mitral valve repair rates correlate with surgeon and institutional experience. The Journal of Thoracic and Cardiovascular Surgery 2014;148(3):995-1004. https://doi.org/10.1016/j.jtcvs.2014.06.039
- 7. Gonzalez A, Dimick J, Birkmeyer J, Ghaferi A. Understanding the Volume-Outcome Effect in Cardiovascular Surgery. JAMA Surgery 2014;149(2):119. https://doi.org/10.1001/jamasurg.2013.3649
- 8. Vassileva C, Mishkel G, McNeely C et al. Long-Term Survival of Patients Undergoing Mitral Valve Repair and Replacement. Circulation 2013;127(18):1870-1876. https://doi.org/10.1161/circulationaha.113.002200
- 9. Kilic A, Shah A, Conte J, Baumgartner W, Yuh D. Operative outcomes in mitral valve surgery: Combined effect of surgeon and hospital volume in a population-based analysis. The Journal of Thoracic and Cardiovascular Surgery 2013;146(3):638-646. https://doi.org/10.1016/j.jtcvs.2012.07.070
- 10. Bolling S, Li S, O'Brien S, Brennan J, Prager R, Gammie J. Predictors of Mitral Valve Repair: Clinical and Surgeon Factors. The Annals of Thoracic Surgery 2010;90(6):1904-1912. https://doi.org/10.1016/j.athoracsur.2010.07.062
- 11. Anyanwu A, Bridgewater B, Adams D. The lottery of mitral valve repair surgery. Heart 2010;96(24):1964-1967. https://doi.org/10.1136/hrt.2010.199620
- 12. Gammie J, O’Brien S, Griffith B, Ferguson T, Peterson E. Influence of Hospital Procedural Volume on Care Process and Mortality for Patients Undergoing Elective Surgery for Mitral Regurgitation. Circulation 2007;115(7):881-887. https://doi.org/10.1161/circulationaha.106.634436