Key result
Recent advances in mitral valve surgery have reduced postoperative mortality to <0.1% with a >97% success rate for repair, arguing for earlier intervention in asymptomatic severe MR.
Highlights the challenge of timing mitral valve surgery in asymptomatic severe primary mitral regurgitation with preserved ejection fraction and discusses the potential utility of left ventricular global longitudinal strain (LV-GLS).
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May support earlier intervention in asymptomatic severe MR; leaves open optimal LV-GLS use for timing in preserved EF.
Mentias et al. (2017) conducted a review in Primary mitral regurgitation. Recent advances in mitral valve surgery have reduced postoperative mortality to <0.1% with a >97% success rate for repair, arguing for earlier intervention in asymptomatic severe MR.
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