Abstract:The decision for surgery in the management of asymptomatic severe degenerative mitral regurgitation (MR) is about doing the right thing at the right time and place. European and American guidelines have provided us with guidance on surgical indications, albeit with different levels of recommendations. However, the timing for surgery especially in asymptomatic patients not meeting Class I indications for intervention, i.e. no evidence of left ventricular dysfunction is still avidly debated. In this review, we w… Show more
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