“…In previous studies we discovered during the long term evolution that surgical valve repair was not an independent factor to predict death, however it was an indication for major events and a higher number of reinterventions [30][31][32] . Others have shown the infl uence of the Wilkins 27 echocardiograph score in the mitral valvuloplasty results 29,49,54 , for both immediate results 29,49,54 and long term evolution 30,31,[54][55][56] , and the group of patients that had previously undergone valve repair procedures presented a higher echocardiograph score.…”