Conclusions It may be recommended that relatively conservative strategy could be adopted in asymptomatic VA and mild to middle MI.The total revascularization may benefit late improvement.

• 结论对于无症状室壁瘤和轻-中度二尖瓣反流应采取相对保守的外科治疗方法，完全的再血管化手术可能对远期改善有利。