Dr. O.P. Yadava, Editor-in-Chief, IJTC, and Dr. J.L. Pomar, Former President, EACTS, discuss issues related to secondary mitral regurgitation (MR). Though it is considered a ventricular disease, mitral valve leaflets are not entirely normal. Alignment of subvalvular apparatus plays a more dominant role than annular dilatation. Early repair is preferred.
Keywords: Repair versus replacement; Secondary mitral regurgitation; Timing of surgery.
© Indian Association of Cardiovascular-Thoracic Surgeons 2019.