Symptomatic patient-chronic mitral regurgitation, Biology

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Symptomatic patient: Symptomatic patient (class 11, 111 or IV) with severe MR and normal left ventricular function (EF > 0.6) and end systolic dimension of LV < 45 mm require surgery. Attempt should be made to repair valve and if it is not possible valve replacement with preservation of all chordate and leaflets.

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