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Guest: Mayra Guerrero, MD and Arman Arghami, MD, MPH Hosts: Kyle Klarich, MD At the end of this interview, the learners should be able to (Learning Objectives): Identify new minimally invasive procedures to treat patients with mitral valve disease. Delineate the difference between minimally invasive surgery versus percutaneous transcatheter interventions for mitral valve disease. Recognize when to refer patients for mitral valve interventions. Questions: 1. What are the minimally invasive intervention options to treat patient with mitral valve disease? 2. Which are the patients who benefit and from less invasive procedures? 3. How and when to refer a patient for mitral valve intervention? 4. If a patient had prior mitral valve surgery (repair or replacement) and has recurrent mitral valve disease, is redo mitral surgery always needed? Or can patient rprio prior surgery be treated with a transcatheter mitral valve repair or replacement avoiding the need for repeat surgery?