Severe mitral regurgitation
|
Symptoms or LV dysfunction present | Yes |
No symptoms and n LV dysfunction |
AF or VT or PHTN | Yes |
No AF, no VT, no PHTN |
Repairable = No | Usually no |
Massive MR (regurgitant volume ≥100 ml) | Possible yes |
Pronounced left atrial enlargement |
Repairable = Yes and |
Low risk | Usually yes |
High risk or severe comorbidity | Usually no |
Not severe mitral regurgitation |
Regurgitant volume <45 ml | No |
Regurgitant volume 45–60 ml | Usually no |
VT or AF or LV dysfunction and repairable = yes | Possible yes |
Other cardiac operation scheduled and repairable = yes | Possible yes |