Question

What are the indications for Mitral valve repair in severe asymptomatic MR?

1) Presence of left ventricular dysfunction
2) Presence of severe pulmonary hypertension
3) Presence of atrial fibrillation
4) All of the above

Answer 1

Mitral valve repair is indicated in severe asymptomatic mitral regurgitation when there is left ventricular dysfunction, severe pulmonary hypertension, or the presence of atrial fibrillation, indicating that all of the above conditions are valid reasons for the intervention.

Step-by-step explanation:

The indications for mitral valve repair in severe asymptomatic mitral regurgitation (MR) include the presence of left ventricular dysfunction, severe pulmonary hypertension, and atrial fibrillation. These conditions can signify worsening heart function and may predict a poor outcome if the valve is not repaired. Without intervention, severe MR can lead to various complications, including heart failure.

• Left ventricular dysfunction is an indication for mitral valve repair as it signifies that the heart is starting to falter under the strain of the regurgitation.
• Severe pulmonary hypertension occurs due to the increased pressure in the lungs caused by the backward flow of blood from the inadequate mitral valve function.
• Atrial fibrillation, a common arrhythmia in the context of mitral valve disease, can result from the enlargement of the left atrium in response to volume overload caused by MR.

Therefore, the correct answer to the question is 4) All of the above.