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Dear Mario
That is a sensible question. Aortic valve repairs can be done, but it is much more technically challenging to do than a mitral valve repair. Also, most of the diseases that lead to the need for aortic valve replacement deform the valve so that it cannot be repaired. It is extremely unlikely that an aortic valve damaged by rheumatic fever (or a mitral valve damaged by rheumatic fever) could be repaired. Mitral valve prolapse is well-suited for repair.
I hope this has been useful. I wish you the best of luck. Feel free to write back.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.