VALVULAR DISEASE: Functional mitral regurgitation: should all valves be replaced?

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In the first multicentre, randomized trial to compare undersized annuloplasty versus mitral replacement in severe ischaemic mitral regurgitation (MR), higher recurrence of clinically significant MR and increased rehospitalization occurred after repair. With the rapid development of transcatheter mitral valve interventions, valve replacement might be the preferable transcatheter mitral valve therapy.

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