Home > Heart Disease > Surgery For Mitral Valve Disease Get the Flash Player to see this player. Rate: (Click the stars to rate) Published on Dec 04, 2008 by PMassimiano, Views: 2438 Mitral valve disease and the indications for surgery. Dr. Paul Massimiano, a cardiovascular surgeon. The mitral valve when working prevents blood from leaking back when the pumping chamber pumps blood to the body. This valve can scar- Mitral Stenosis, or leak-mitral regurgitation. Mitral valve prolapse can cause regurgitation. Symptoms may be shortness of breath, and fatigue. This valve can be repaired or replaced.