Treatment of Chronic Severe Primary Mitral Regurgitation
Chronic severe primary mitral regurgitation (PMR) is a valvular condition in which the mitral valve itself is the primary source of disease. Management hinges on careful patient assessment — including both asymptomatic and symptomatic presentations — to determine the appropriate timing and type of intervention.
Clinical Scenario
This protocol covers patients with chronic severe primary mitral regurgitation, encompassing both asymptomatic and symptomatic presentations. Indications for intervention and their timing differ between these groups, making precise clinical evaluation central to management decisions.
Treatment Approach (partial)
In operable patients with this condition, the management approach involves surgical intervention directed at anatomical restoration of the mitral valve. Whether a durable result can be achieved is a key factor in selecting the appropriate procedure — the full clinical algorithm and patient-selection criteria are contained in the complete protocol.
Complete procedural guidance, selection criteria, and decision algorithm available below.
References
DOI: 10.1093/eurheartj/ehaf194
Indications for surgery in patients with chronic asymptomatic and symptomatic PMR are summarized in Recommendation Table 6 and Figure 11.
In cases of severe PMR, restoring the anatomy by surgical MV repair, including annuloplasty, is the treatment of choice in operable patients when an optimal and durable result is expected.
MV repair is the recommended surgical technique to treat patients with severe PMR when the result is expected to be durable.
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