The paper summaries the experience with 244 operations for mitral restenosis. The methods for surgical treatment of mitral restenosis: closed mitral recommissurotomy, valvuloplasty, and mitral valve prosthesis are comparatively analyzed. Indications and contraindications are defined for relapse. Advantages of reconstructive valve-sparing operations and the necessity of their wide introduction into clinical practice are shown. The paper also gives recommendations how to choose the optimal policy of surgical treatment of mitral restenosis.

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