The E-to-E repair is applicable to lesions of any etiol-ogy and it is effective not only when MR is due to
leaflet prolapse, but also with other types of valve
dysfunction. Due to its intrinsic simplicity, the E-to-E
repair could be the technique of choice when exposure
is difficult or when the repair is carried out through a
port access. Eventually, the concept introduced by this
type of repair can open the perspective of percutaneous
correction of MR. Longer follow-up period is needed
to confirm long term expectations with this promising
alternative technique of valve repair.