Importance of valve competence—what do repair durability and pharmacoadherence have in common?

The article discusses the importance of valve competence in heart surgery and its impact on patient life expectancy. It explains that the mechanical correction of valve competency is a focus of therapy because medical treatment is unable to cure the problem. The article compares the durability of repair strategies for functional and structural regurgitation and suggests that the lack of repair durability in functional regurgitation may be responsible for the inability to demonstrate a survival impact. The article also presents a technique for repair of functional tricuspid regurgitation that potentially improves durability. Overall, the article emphasizes the need for lasting repair successes in valve surgery to improve patient outcomes. [Extracted from the article]