Clinical scenario
This protocol addresses the management of patients with chronic severe primary mitral regurgitation (PMR) — a structural valve disease in which the primary pathology lies within the mitral valve apparatus itself, producing significant regurgitation that requires clinical assessment and, where indicated, surgical intervention.
Surgical approach — partial overview
When surgery is indicated, the structured protocol addresses valve intervention options — including, in appropriate cases, a surgical approach involving valve replacement technique with specific anatomical considerations — with further steps, indications, and sequencing available in the full protocol.
DOI: 10.1093/eurheartj/ehaf194