A 59 year old man with severe myxomatous mitral regurgitation is asymptomatic, with a left ventricular ejection fraction of 45% and an end systolic diameter index of 2.9 cm/m2. The most appropriate t/t is: (A) Mitral valve repair or replacement, (B) No treatment, (C) ACE inhibitor therapy, (D) Digoxin and diuretic therapy
Answer is A. None