title: [Primary mitral regurgitation: indications for surgery and recent advances].
abstract: Mitral regurgitation (MR) is, in Europe, the second most common valvular disease. Primary MR represents 61% of cases. The surgical indications for symptomatic patients with severe primary MR, are subject to a broad consensus with strong levels of recommendations. In asymptomatic patients, levels of recommendations are weaker despite the numerous publications. Exercise echocardiography has emerged as a useful tool for the management of the patients and appeared in the latest European recommendations. It continues to be the subject of numerous studies demonstrating its usefulness for risk stratification in asymptomatic patients. The next advances in this field will probably argue for an earlier surgery in these kinds of patients.
authors.affiliation: Service de cardiologie CHU Sart Tilman, 4000 Liège, Belgique.
authors.forename: D
authors.initials: D
authors.lastname: Voilliot
authors.forename: C
authors.initials: C
authors.lastname: Henri
authors.forename: L
authors.initials: L
authors.lastname: Pierard
mesh_terms: D004452:Echocardiography; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D012720:Severity of Illness Index; D013318:Stroke Volume