<p>Lifetime management of primary mitral regurgitation requires integrating surgical and transcatheter strategies. This review evaluates initial interventions, emphasizing early timing and repair durability, and outlines subsequent reintervention pathways. Synthesizing contemporary evidence, it highlights how a multidisciplinary Heart Team must design the index procedure to preserve future therapeutic options and ensure structured longitudinal care across the patient lifespan.</p>

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Lifetime management of primary mitral regurgitation through integrated surgical and transcatheter reinterventions

  • Minoru Tabata

摘要

Lifetime management of primary mitral regurgitation requires integrating surgical and transcatheter strategies. This review evaluates initial interventions, emphasizing early timing and repair durability, and outlines subsequent reintervention pathways. Synthesizing contemporary evidence, it highlights how a multidisciplinary Heart Team must design the index procedure to preserve future therapeutic options and ensure structured longitudinal care across the patient lifespan.