Great strides have been made in the surgical treatment of heart valve disease. In the 1950s, surgery was used to repair damaged heart valves. In the early 1960s, the first valve replacement surgery with a prosthetic valve was performed.5 Valve replacement became the preferred surgical technique, because prosthetic valves were easy to insert and reliable.6 Complications associated with valve replacement include wear of the prosthetic valve, thromboembolism, hemorrhage due to use of anticoagulants, and prosthetic valve endocarditis. According to Frankel and Brest,3 after valve replacement surgery, the disease process that involved the native valve is replaced by another disease process, one that involves the prosthetic valve. Therefore, surgeons turned with renewed interest to repair and reconstruction of cardiac valves. Valve repair eliminates or at least minimizes many of the problems associated with valve replacement.