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Question:

Is now a good time to have my mitral valve repaired?  

I have a long history of mitral valve prolapse with regurgitation. My last echo (3/2013) revealed that the regurgitation is now severe (was moderate to severe last year) and my left ventricle is mildly dilated (was normal last year). I am currently asymptomatic. My cardiologist suggested it would be a good time to have my valve repaired. After the TEE, he said that we can actually wait for 3-5 years, unless I became symptomatic. I know you don’t have all the facts, but generally, should I seek a second opinion or not be concerned? I would rather the valve be repaired before it is too far gone and it needs to be replaced. Thank you!

submitted by Liz from Tomball, Texas on 4/3/2013

Answer:

by Texas Heart Institute cardiovascular surgeon, David A. Ott, MD  

David A. Ott, MDIn general the valve should be repaired before the ventricle becomes too dilated. If you have not already had a transesophageal echo, you should have one done. If desired, you could send a DVD of your study to the Texas Heart Institute for review and a second opinion. [Contact our Heart Information Center for a referral.]    

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Updated April 2013
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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