SEVERE MR 2d echo

2026-05-23 10:46:14
Hello, the 2D Echo report mentions severe mitral regurgitation due to mitral valve prolapse with dilated left atrium.  EF is still 62%, is surgery required immediately ??
59 Views
Yes. And best option is robotic mitral valve repair which has the advantage of less bleeding, less pain, not much of scar and better recovery. For further details consult me Thanks
Next Steps
Consult me

Answered2026-05-25 01:47:48

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

This echo shows severe mitral regurgitation (MR) due to mitral valve prolapse (both AML and PML prolapse). Reassuring points: * LV pumping function is still preserved: EF 62% * LV size is still within acceptable range: LVIDs 3.3 cm * No pulmonary hypertension * No regional wall motion abnormality * Young age (26 years) is favorable if repair is needed Bad signs: * Severe MR * Dilated left atrium (LA 4.2 cm) * Thickened prolapsing leaflets In severe MR due to MVP, surgery is usually advised when one or more of these occur: * Symptoms: breathlessness, reduced exercise tolerance, palpitations, fatigue * LV function starts dropping * LV begins enlarging * Pulmonary hypertension develops * New atrial fibrillation occurs * Very high likelihood of durable valve repair in a young patient
Next Steps
prefer early elective mitral valve repair before permanent heart enlargement or LV dysfunction develops. get a: * Repeat high-quality echocardiogram (preferably at a good cardiac center) * Ideally a TEE (Transesophageal Echo)
Health Tips
If there is: * No breathlessness, * No AF, * Normal exercise tolerance, * Stable LV dimensions, then surgery may be planned electively after proper evaluation rather than urgently.

Answered2026-05-24 13:25:22

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.