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. 2020 Oct 13;115(4):720–775. [Article in Portuguese] doi: 10.36660/abc.20201047

Table 12. Step 5: Type of severe primary mitral regurgitation intervention39–52.

Type of intervention Considerations
Mitral valve repair

  • Treatment of choice

  • Rheumatic patients: less favorable results.

  • Prolapse of the posterior cusp of the mitral valve (isolated P2): better results.
Mitral valve replacement

  • Indicated in cases where valve repair is not possible.
Percutaneous mitral valve repair

  • Reserved for high-risk patients or patients with surgical contraindication and refractory symptoms

  • Degenerative MR due to prolapse

  • Favorable anatomical conditions

  • Indicated following decision by the Heart Team

MR: mitral regurgitation.