The Silent Cost of Gender in Mitral Valve Surgery: A Propensity-Score Matched Analysis.

ABSTRACT:

Objectives

Mitral valve (MV) disease shows sex-specific differences in morphology and outcomes. Women often present later, undergo replacement more frequently, and experience worse survival. This study investigated sex-related disparities in surgical approach, repair rates, and outcomes of MV surgery.

Methods

A total of 1531 consecutive patients undergoing MV surgery with or without concomitant tricuspid valve procedure were analysed retrospectively. Baseline characteristics, operative strategies, and outcomes were compared between sexes. Propensity score matching was used to adjust for baseline differences. Primary outcomes were 30-day and 5-year mortality. Baseline and procedural characteristics, including morphology, repair rates, use of minimally invasive MV surgery (MIM

SUBMITTER: Polzl L 

PROVIDER: S-EPMC12771641 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature