Mitral Valve Repair: the Multimodal Approach and the Role of Minimally Invasive Procedures.

In recent years mitral valve repair has gained increasing acceptance as the preferred treatment for mitral insufficiency. Mitral valve repair has many advantages. The surgical risk is lower than prosthetic valve replacement. Improved preservation of left ventricular function due to maintenance of the papillary muscle - mitral annular continuity - has been demonstrated. Thromboembolism is rare after mitral repair in patients in sinus rhythm. These patients receive no coumadin and thus are free from bleeding complications. The repaired valves have been shown to have durability comparable to or better than prosthetic valves.