Physician Portal

Patient Portal

Background

TRAINING
Duke University, Dr. David C. Sabiston
University of Alabama, Dr. John. W. Kirklin

ACADEMIC APPOINTMENTS
Duke University, 1981 - 1990
UC San Francisco, 1990 - 1993
Vanderbilt University, 1993 - present

BOARD CERTIFICATIONS
American Board of Surgery
American Board of Thoracic Surgery

ORGANIZATIONS
American Association for Thoracic Surgery
Society of Thoracic Surgeons
Society of Heart Valve Disease
American College of Surgeons
Sabiston Surgical Society

 

Why Cardiac Valve Repair?

It is now clear that repairing a patient’s own diseased mitral valve provides superior early and late results as compared to prosthetic mitral valve replacement (5, 6, 7, 8). In recent years, new techniques of repair, such as artificial chordal replacement and pericardial patch augmentation, have been perfected that increase applicability and stability of repair (20). At this point in time, 99% of all mitral pathologies can be repaired with excellent long-term results (13, 14, 22, 37). Simultaneously, the operative mortality for mitral repair has fallen close to zero, independent of severity of preoperative illness (44) (Click for graphs of Dr. Rankin's Outcome Data for Mitral Valve Surgery.) Late outcomes for repair now are better because of no need for Coumadin anticoagulation, low thromboembolic rates, low endocarditis rates, and better durability than tissue valves. Having one’s own valve functioning normally is just more physiologic than an artificial valve. Original clinical research papers by Dr. Rankin and his colleagues and associated surgical videos are provided on this website to support these concepts, and interactive communication is encouraged to discuss these topics.

Detailed Information is on the Mitral Valve Repair Section

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