[Valve reconstruction for mitral valve insufficiency. Aspects of surgical technique]

In mitral regurgitation it is undoubtful that reconstruction of the valve aims in functional better results with low risk for the patients. Due to patho-anatomic diversity it is not only necessary to reconstruct individually chordae and leaflets but also to choose selectively the kind for a proper annular reconstruction method. If after repair of the moving parts of the valve there is a central reflux persistent an annular reconstruction should be performed such as De Vega-plasty, whereas an excentric regurgitation makes the implantation of an annular ring mandatory. By this differential approach the risk for persistence of mitral insufficiency is diminished postoperatively.