Mitral valve repair can be predictably performed in Barlow's disease with excellent early outcomes. Large annuloplasty rings help minimize the risk of systolic anterior motion and are an important adjunct to established repair techniques in this patient cohort with large annular size and excess leaflet tissue.

... as we acheived a 100% success rate (no significant residual MR), with minimal morbidity and no mortality, we believe such complicated mitral valve repairs are worthwhile and are preferable to valve replacement.