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have you been told that you need mitral valve surgery and are you confused about whats the best option for you should you have a mitral valve repair should you have a replacement if youre going to have a replacement should it be a tissue valve pigs or cows or a mechanical valve with a long-term need for blood thinners like warfarin well if this is you and you need to know the answer to these questions this short video will help you immeasurably im certain now lets just get to the first bit here repair or replacement is a very simple scenario of decision making if youve got a heavy calcification on your mitral valve and your valve is either stinos it doesnt open properly or its stuck in position where it both is stenosed and leaks then the simple and best thing for you is to remove that heart valve and replace that heart valve and there are two main options a tissue valve made of pigs or cows or a mechanical valve now the tissue valve is good in one respect in that you wont nee