On episode 43 of Inside the Studio, Dr. Joseph G. Rogers, Director of The Texas Heart Institute at Baylor College of Medicine, sits down with Grand Rounds guest Dr. Hartzell Vernon Schaff, the Stuart W. Harrington Professor of Surgery at Mayo Clinic, and the recipient of the THI's highest honor, the 2025 Ray C. Fish Award for Scientific Achievement. 

In this conversation, Dr. Schaff shares his insights on mitral regurgitation and its clinical implications:

• Valvular Heart Disease: Dr. Rogers and Dr. Schaff discuss key considerations in assessing and managing patients with valvular heart disease, especially those with mitral regurgitation.
• Functional Mitral Regurgitation: Dr. Schaff dives into the challenges of managing functional mitral regurgitation as patients' ejection fraction drops, discussing the evolving approach to treatment.
• Surgical vs. Percutaneous Approaches: The duo explores the different approaches to mitral regurgitation, including when to consider surgery or percutaneous interventions, such as mitral valve repair, replacement, and the mitral clip.
• Patient-Centric Decision Making: Emphasizing a patient-centered approach, they discuss how to determine the right course of action for patients with heart failure and significant mitral regurgitation.
• Long-Term Outcomes: Dr. Schaff highlights that while interventions can improve symptoms, they may not necessarily impact long-term survival in certain cases.

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