In this post I link to Mitral valve disease: when should we call in the cardiac surgeon? from the e-Journal of Cardiology Practice, Vol. 16, N° 28 – 31 Oct 2018 by Dr. Rana Sayeed.
The above article is an outstanding brief review of what you need to know about the topic.
The e-Journal of Cardiology Practice is an excellent, open source [I think] resource on Cardiology.