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Association between early surgical intervention vs watchful waiting and outcomes for mitralregurgitation due to flail mitral valve leaflets.
In this retrospective study the authors compare the outcomes between early surgery and watchful waiting in a large group of patients with mitral regurgitation due to flail mitral leaflets and without class I indication for surgery. Those patients who underwent early surgery had lower long term mortality and heart failure risk. There were no differences in the short term outcomes.