Table 7.

Echocardiographic indications for MV surgery (17).

Left ventricle – primary MR	LV dilatation by Simpson’s biplane volume LVESD ≥40 mm LVEF ≤60%
Systolic pulmonary artery pressure	SPAP >50 mmHg
Left atrium	Simpson’s biplane MOD ≥60 mL/m2 (in SR)
Valve anatomy	Flail leaflet