I think it depends on both the severity and the mechanism of the mitral regurgitation. We generally don't operate on mild or moderate mitral regurgitation irrespective of mechanism, unless there is a compelling reason for surgery. How is your atrial fibrillation controlled? Have they attempted to place in normal sinus rhythm with medications or cardioversion?
Wait for the results of your TEE. It is a good test to determine what's going on with the valves. Any idea of the amount of regurgitation you have been estimated to have? It is usually graded on a scale of 1-4, 4 being severe. When is your TEE?
Check out this summary by the American College of Cardiology. The section on MR and surgery begins on page 35. From what I can gather, unless you have severe regurgitation, you may not be refeffered for surgery. However, because you are symptomatic, other factors may come into play.
Please keep us posted. Enjoy the day!
Thank you so much for the reply. MY MV peak is .58m/sec and I have an EF of 38%. I cannot find any additional information which might indicate a grading scale of the degree of MR except for the qualitative mention of mild to moderate. I am aware that that there is an inherant bias in performing these tests. A TEE is scheduled for 11/12/07. I am hoping that this will provide some additional, useful information and definitive treatment. Once again, your reply is greatly appreciated. Thank you.
We are the same age (young!) and I also have mitral regurgitation. I ran into a similar situation a few years back when I was increasingly tired and short of breath. An updated echo revealed a "moderately severe" leaking mitral valve. My doctor referred me to the CC for a TEE. I had the TEE and it was read as 2 - 3+ MR. The doctor said I was not a candidate for surgical repair. I still have semi-annual checkups (echos and stress echos) to watch for any changes.
Generally, the regurg is graded something like this...
1. Trivial, psysiologic, trace
4. Severe Sounds as though your last echo would place you at 2 - 3. The TEE should give you a better idea.
Good luck with the test. I hope you get some answers and that you feel better soon. Please let us know how you make out.
God bless both of you. Dear, CCFheartMD-CA, thank you for this site.