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What is the treatment for mitral regurgitation related to a leaky heart valve?

ANSWER

Some people with a leaky mitral valve don't require treatment. The standard approach is observation over time. Experts don't recommend daily medication for mitral regurgitation unless there is significant heart failure.

Surgery to repair or replace a mitral valve that is leaking severely can result in significant improvement for certain people. Because mitral regurgitation is slowly progressive, deciding when to operate -- neither too early, nor too late -- can be difficult.

SOURCES:

Borgeson, D. Journal of the American Society of Echocardiography, 1996; vol 9: pp 832-837. Enriquez-Sarano, M. New England Journal of Medicine, 2004; vol 351: pp 1539-1546.

Otto, C. New England Journal of Medicine, 2001; vol 345: pp 740-746.

Bonow, R. Circulation, 2008; vol 118: pp e523-661.

Guenther, T. European Journal of Cardio-thoracic Surgery, 2008; vol 34: pp 402-409.

Lee, J. Circulation Journal, 2010; vol 74: pp 375-380.

Libby, P. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine, 8th edition, Saunders Elsevier, 2007.

Children’s Hospital of Wisconsin: “Anatomy and Function of the Heart Valves.”

Reviewed by James Beckerman on November 6, 2019

SOURCES:

Borgeson, D. Journal of the American Society of Echocardiography, 1996; vol 9: pp 832-837. Enriquez-Sarano, M. New England Journal of Medicine, 2004; vol 351: pp 1539-1546.

Otto, C. New England Journal of Medicine, 2001; vol 345: pp 740-746.

Bonow, R. Circulation, 2008; vol 118: pp e523-661.

Guenther, T. European Journal of Cardio-thoracic Surgery, 2008; vol 34: pp 402-409.

Lee, J. Circulation Journal, 2010; vol 74: pp 375-380.

Libby, P. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine, 8th edition, Saunders Elsevier, 2007.

Children’s Hospital of Wisconsin: “Anatomy and Function of the Heart Valves.”

Reviewed by James Beckerman on November 6, 2019

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How is a leaky tricuspid valve diagnosed?

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