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Treatment

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The treatment of this condition can be considered in terms of medical and surgical managements, and in terms of treatment of the acute and chronic disease.

Primary mitral regurgitation

  • offer surgical mitral valve repair (by median sternotomy or minimally invasive surgery) to adults with severe* primary mitral regurgitation and an indication for repair, if surgery is suitable
  • offer surgical mitral valve replacement (by median sternotomy or minimally invasive surgery) to adults with severe* primary mitral regurgitation and an indication for surgery, if the valve is not suitable for repair and surgery is suitable
  • consider transcatheter edge-to-edge repair, if suitable, for adults with severe* primary mitral regurgitation and symptoms, if surgery is unsuitable

Secondary mitral regurgitation

  • consider surgical mitral valve repair (by median sternotomy or minimally invasive surgery) for adults with severe* secondary mitral regurgitation who are having cardiac surgery for another indication, if surgery is suitable
  • consider surgical mitral valve replacement (by median sternotomy or minimally invasive surgery) for adults with severe* secondary mitral regurgitation who are having cardiac surgery for another indication, if the valve is not suitable for repair and surgery is suitable
  • offer medical management to adults with heart failure and severe* secondary mitral regurgitation, if surgery is unsuitable
  • consider transcatheter mitral edge-to-edge repair for adults with heart failure and severe* secondary mitral regurgitation, if surgery is unsuitable and they remain symptomatic on medical management

* severity of valve disease is defined in line with the British Society of Echocardiography guidelines on the British Heart Foundation's website

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