Severe mitral valve regurgitation in a 23-year-old manGuerra, Michael PA-CJournal of the American Academy of PAs: November 2014 - Volume 27 - Issue 11 - p 42–44 doi: 10.1097/01.JAA.0000453236.17130.22 Case Report Buy SDC Abstract Author InformationAuthors Article MetricsMetrics ABSTRACT Early surgical repair of severe mitral valve regurgitation in symptomatic and asymptomatic patients is associated with better long-term outcomes than watchful waiting. This article describes an asymptomatic, 23-year-old man whose significant cardiac murmur (later confirmed to be mitral regurgitation) was found during a routine examination for a prescription refill of an antiviral drug. Michael Guerra is an associate professor in the PA program at Eastern Michigan University in Ypsilanti, Mich., and practices with Family Care Associates at Detroit Medical Center in Plymouth, Mich. The author has disclosed no potential conflicts of interest, financial or otherwise. © 2014 American Academy of Physician Assistants.