Conclusions:
In patients with moderate to severe mitral valve regurgitation, repair
can be performed with lower operative and 5-year mortality rates and is
associated with better postoperative outcomes. Decision making for
replacement vs. repair is influenced by the pathology of the valve. We
agree that MV repair should be the treatment of choice for severe mitral
regurgitation and should remain a central aspect in treatment algorithms
and the quality measures of valve centers.