Surgical timing for mitral valve regurgitation

Advances in diagnostic and surgical techniques in the management of mitral regurgitation have resulted in improved survival rates and clinical outcomes. Echocardiography is a valuable noninvasive diagnostic tool in the determination of the timing of surgical correction of mitral regurgitation. Improved surgical techniques, the growing role of mitral valve repair, low operative mortality rates, and improved long-term survival rates are important considerations for earlier surgical intervention in, symptomatic patients and in asymptomatic patients with echocardiographic criteria of Left ventricular dilatation. Intraoperative transesophageal echocardiography is very useful in. mitral valve repair and valve replacement with preservation of chordal structures.