title: [Approach to chronic mitral regurgitation in 2016].
abstract: Mitral regurgitation (MR) is the most frequent valvular disease in industrialised countries. MR is classified as primary (mostly degenerative with valve prolapse) or secondary (mainly due to underlying ischemic heart disease resulting in deformation of the valve structure). Surgical repair represents the optimal treatment for severe primary MR, whereas the benefits of surgical correction of secondary MR are controversial. Over the past few years, transcatheter techniques have been developed to treat MR, such as the percutaneous edge-to-edge procedure (MitraClip). These approaches represent a novel therapeutic choice for patients judged inoperable by the "heart team". This review article aims to summarize the principles of MR assessment and discuss current therapeutic options for severe MR, taking into account the latest advances in the field.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Antiochos
authors.forename: Olivier
authors.initials: O
authors.lastname: Muller
authors.forename: Matthias
authors.initials: M
authors.lastname: Kirsch
authors.forename: Melissa
authors.initials: M
authors.lastname: Agostini
authors.forename: Salah
authors.initials: S
authors.lastname: Qanadli
authors.forename: Eric
authors.initials: E
authors.lastname: Eeckhout
authors.forename: Pierre
authors.initials: P
authors.lastname: Vogt
authors.forename: René
authors.initials: R
authors.lastname: Prêtre
authors.forename: Alain
authors.initials: A
authors.lastname: Delabays
authors.forename: Xavier
authors.initials: X
authors.lastname: Jeanrenaud
authors.forename: Pierre
authors.initials: P
authors.lastname: Monney
mesh_terms: D002908:Chronic Disease; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D017202:Myocardial Ischemia / Q000150:complications*; D012720:Severity of Illness Index