30M with severe mitral regurgitation + flail posterior leaflet — surgery now or can I wait?
Hi everyone,
I’m 30 years old and recently got evaluated for mitral valve prolapse with severe mitral regurgitation.
My echo findings:
- Severe MR
- Flail posterior mitral leaflet (possible chordal rupture)
- EF around 55–65%
- Heart chambers still normal size
- No pulmonary hypertension
Symptoms are mild right now. Mostly fatigue occasionally, but I can still do normal day to day activities.
What I’m struggling with is timing.
Since I’m still functioning normally and my heart function is preserved, I’m wondering:
- Is early surgery usually the better option in cases like this?
- Can someone safely monitor this for 1–2 years?
- Has anyone here had successful mitral valve repair for flail PML at a young age?
- Any recommendations for surgeons/hospitals in India especially for valve repair?
Honestly just trying to understand whether I should proactively get this fixed now or if I’m overreacting.
Would appreciate any advice or personal experiences.