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patients with heart failure and left ventricular dilatation May house secondary or functional mitral regurgitation this is due to alteration of the left ventricular geometry producing changes in the functioning of papillary muscles and caudiated and poor cooperation of the mitral leaflets secondary material negotiation causes volume overloading of the left ventricle and is associated with reduced survival increased hospitalization rates and decreased quality of life secondary metal regurgitation can be reduced by guideline directed medical therapy and cardiac re-synchronization therapy this will also provide symptomatic relief and imbro left ventricular function ever astute trial comparing percutaneous mitral oil repair and surgery for mitral regurgitation had concluded that percutaneous repair was less effective at reducing vital regurgitation than conventional surgery but percutaneous repair was associated with Superior safety and similar improvements in clinical outcome an explorato
