The choice of which type of mechanical heart valve to use is usually determined by the surgeon during the course of surgery and depends on technical factors like the size of the vavular annulus and the ventricle. Mitral valve repair is quickly becoming the favored treatment for mitral regurgitation and results have been very good. One of the surgeons at Cleveland Clinic, Dr. Delos Cosgrove, has pioneered mitral valve repair and does most of those procedures through a minimally invasive approach. If however, he does need a valve replacement, either a St. Jude's or a CarboMedics valve would be an excellent choice. I hope you find this information useful.
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