{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T17:10:12Z","timestamp":1778605812580,"version":"3.51.4"},"reference-count":18,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Annuloplasty is a key component of mitral valve repair, yet the impact of ring design on early outcomes remains unclear. Methods: This retrospective study included 153 consecutive patients undergoing mitral valve repair with annuloplasty. Ring designs were grouped into semi-rigid rings, semi-rigid bands, rigid rings, and other designs. The primary outcome was new-onset postoperative atrial fibrillation (AF). Secondary outcomes included early complications and repair durability based on follow-up echocardiography. Results: Postoperative AF occurred in 14.4% of patients and did not differ across ring design groups (p = 0.791). No independent predictors of AF were identified, although a longer aortic cross-clamp time showed a borderline association. Early outcomes were favorable, with 2.0% mortality and 5.9% rethoracotomy. Follow-up echocardiography was available in 79.7% of patients, with good or moderate repair observed in 95.9%. Echocardiographic repair failure occurred in 2.5% of patients. No clear association was observed between ring design and repair durability. Conclusions: In this real-world cohort, no significant association was detected between annuloplasty ring design and early postoperative AF or short-term outcomes. These findings should be interpreted cautiously, given the low event rate and small subgroup sizes.<\/jats:p>","DOI":"10.3390\/jcm15103711","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T16:04:36Z","timestamp":1778601876000},"page":"3711","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Annuloplasty Ring Utilization in Mitral Valve Repair: A Real-World Snapshot of Device Selection and Early Outcomes"],"prefix":"10.3390","volume":"15","author":[{"given":"Andrzej","family":"Klapkowski","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Faculty of Medicine, Medical University of Gda\u0144sk, ul. Sk\u0142odowskiej-Curie 3a, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7739-0340","authenticated-orcid":false,"given":"Aleksandra","family":"Sta\u0144ska","sequence":"additional","affiliation":[{"name":"Division of Quality of Life Research, Department of Psychology, Faculty of Health Sciences, Medical University of Gda\u0144sk, ul. Sk\u0142odowskiej-Curie 3a, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikodem","family":"Ulatowski","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Faculty of Medicine, Medical University of Gda\u0144sk, ul. Sk\u0142odowskiej-Curie 3a, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maciej","family":"Duda","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Faculty of Medicine, Medical University of Gda\u0144sk, ul. Sk\u0142odowskiej-Curie 3a, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6169-6942","authenticated-orcid":false,"given":"Igor","family":"Tomczyk","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Faculty of Medicine, Medical University of Gda\u0144sk, ul. Sk\u0142odowskiej-Curie 3a, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9786-6390","authenticated-orcid":false,"given":"Wojciech","family":"Karolak","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Faculty of Medicine, Medical University of Gda\u0144sk, ul. Sk\u0142odowskiej-Curie 3a, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"ref_1","first-page":"S15","article-title":"Mitral valve repair for degenerative disease","volume":"11","author":"Gillinov","year":"2002","journal-title":"J. Heart Valve Dis."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2524","DOI":"10.1111\/jocs.15506","article-title":"Benefits of mitral valve repair over replacement in the elderly: A systematic review and meta-analysis","volume":"36","author":"Rapetto","year":"2021","journal-title":"J. Card. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.xjtc.2021.10.036","article-title":"Mitral annuloplasty ring design and selection: Complete semi-rigid is best","volume":"10","author":"Chotivatanapong","year":"2021","journal-title":"JTCVS Tech."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.jtcvs.2022.06.026","article-title":"Mitral annuloplasty ring design and selection: Flexible bands are (mostly) all you need","volume":"166","author":"Schulte","year":"2023","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/j.athoracsur.2020.11.006","article-title":"Long-term results of mitral repair with complete semi-rigid rings versus posterior flexible bands","volume":"112","author":"Baccelli","year":"2021","journal-title":"Ann. Thorac. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.jacc.2018.11.018","article-title":"Atrial fibrillation and mitral valve prolapse: Time to intervene?","volume":"73","author":"Borger","year":"2019","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1111\/jce.16390","article-title":"Characterization of atrial arrhythmias following mitral valve repair: Incidence and risk factors","volume":"35","author":"Kharbanda","year":"2024","journal-title":"J. Cardiovasc. Electrophysiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0022-5223(97)70142-9","article-title":"Outcome of atrial fibrillation after mitral valve repair","volume":"114","author":"Obadia","year":"1997","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.jtcvs.2023.08.057","article-title":"Postoperative atrial fibrillation in mitral valve surgery is not benign","volume":"168","author":"Fu","year":"2024","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2091","DOI":"10.1016\/j.athoracsur.2011.06.079","article-title":"New-onset postoperative atrial fibrillation predicts late mortality after mitral valve surgery","volume":"92","author":"Bramer","year":"2011","journal-title":"Ann. Thorac. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Matteucci, A., Russo, M., Galeazzi, M., Pandozi, C., Bonanni, M., Mariani, M.V., Pierucci, N., La Fazia, V.M., Di Fusco, S.A., and Nardi, F. (2025). Impact of Ablation Energy Sources on Perceived Quality of Life and Symptom in Atrial Fibrillation Patients: A Comparative Study. J. Clin. Med., 14.","DOI":"10.3390\/jcm14082741"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.hjc.2024.02.001","article-title":"Mitral valve repair of the anterior leaflet: Are we there yet?","volume":"78","author":"Bahiraie","year":"2024","journal-title":"Hellenic J. Cardiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1007\/s12055-019-00801-6","article-title":"Contemporary techniques for mitral valve repair: The Mayo Clinic experience","volume":"36","author":"Schaff","year":"2020","journal-title":"Indian J. Thorac. Cardiovasc. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s12055-019-00823-0","article-title":"Mitral valve repair for degenerative mitral valve regurgitation","volume":"36","author":"Perier","year":"2020","journal-title":"Indian J. Thorac. Cardiovasc. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"ezaf451","DOI":"10.1093\/ejcts\/ezaf451","article-title":"The silent cost of gender in mitral valve surgery: A propensity-score matched analysis","volume":"68","author":"Lohmann","year":"2026","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1016\/j.athoracsur.2013.04.055","article-title":"Gender differences in long-term survival of Medicare beneficiaries undergoing mitral valve operations","volume":"96","author":"Vassileva","year":"2013","journal-title":"Ann. Thorac. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Russo, G., Maisano, F., Massaro, G., Terlizzese, G., Mariano, E., Bonanni, M., Matteucci, A., Bezzeccheri, A., Benedetto, D., and Chiricolo, G. (2022). Challenges and Open Issues in Transcatheter Mitral Valve Implantation: Smooth Seas Do Not Make Skillful Sailors. Front. Cardiovasc. Med., 8.","DOI":"10.3389\/fcvm.2021.738756"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"40","DOI":"10.23736\/S2724-5683.21.05816-6","article-title":"Cardiovascular medicine: A year in review","volume":"70","author":"Matteucci","year":"2022","journal-title":"Minerva Cardiol. Angiol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/10\/3711\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T16:27:45Z","timestamp":1778603265000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/10\/3711"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,12]]},"references-count":18,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["jcm15103711"],"URL":"https:\/\/doi.org\/10.3390\/jcm15103711","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,12]]}}}