In Reply.—Dr Cheng's comments regarding my editorial on MVP1 are correct. In my brief article, I did not mention that mitral valve repair is indeed preferred to mitral valve replacement whenever possible, although replacement is still indicated when repair is not possible. I chose the extreme example of replacement to point out that MVP is not always the benign condition that we sometimes lead patients to believe.
I thank Dr Cheng for his comments.
ALLEN HD. Mitral Valve Prolapse-Reply. Am J Dis Child. 1992;146(7):787. doi:10.1001/archpedi.1992.02160190017007