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59% (17/1068), isolated repair 1.14% (10/881), isolated posterior leaflet 0.85% (4/472). Leaflet SAM occurred in 1.7 % (18/1068), significant in 0.4% (4/1068). Survival at 10 yrs by Kaplan-Meier analysis was 74.65%, freedom from reoperation, 96.01%, freedom from severe mitral regurgitation (MR) 94.0%. The only predictor of reoperation (Cox Analysis) was male, p=0.001. Use of intraoperative simulation of mitral dynamics led to 100% reparability for degenerative valves with minimal SAM, despite no leaflet resection. Long term durability ha