in , ▁the ▁val ve ▁leaf lets ▁are ▁cli pped ▁together . ▁This ▁technique ▁– ▁per cut aneous ▁mit ral ▁val ve ▁repair ▁– ▁is ▁available ▁in ▁Europe ▁but ▁still ▁in ▁clin ical ▁trial ▁in ▁the ▁United ▁States . ▁It ▁is ▁a ▁highly ▁special ized ▁technique ▁only ▁available ▁at ▁select ▁hosp it als . ▁Early ▁trial ▁results ▁suggest ▁that ▁it ▁may ▁be ▁a ▁benef icial ▁approach ▁for ▁patients ▁who ▁are ▁at ▁high ▁risk ▁from ▁conventional ▁surg ery . ▁ ▁As ▁early ▁as ▁January ▁ 2 0 0 0 ▁a ▁team ▁of ▁do ctors ▁at ▁the ▁Instituto ▁de ▁Card i ología ▁y ▁Cir ug ía ▁Card i ov asc ular ▁in ▁La ▁Hab ana , ▁Cuba ▁have ▁performed ▁be ating ▁heart ▁mit ral ▁val ve ▁repair ▁or ▁replacement . ▁The ▁be ating ▁heart ▁mit ral ▁val ve ▁replacement ▁technique ▁is ▁as ▁safe ▁as ▁the ▁arrested ▁heart ▁technique , ▁and ▁is ▁the ▁recommended ▁alternative ▁to ▁arrested ▁heart ▁technique . ▁ ▁See ▁also ▁▁ ▁A ort ic ▁val ve ▁repair ▁ ▁Card iac ▁surg ery ▁ ▁Mit ral ▁val ve ▁ins u ffic iency ▁ ▁References ▁ ▁Further ▁reading ▁ ▁External ▁links ▁▁ ▁them it ral val ve . org — E du c ational ▁trac ing ▁the ▁history ▁of ▁val v ular ▁heart ▁disease ▁over ▁a ▁five - century ▁period ▁ ▁Category : Card iac ▁surg ery <0x0A> </s> ▁South end - on - Se a ▁War ▁Memorial , ▁or ▁South end ▁War ▁Memorial , ▁is ▁a ▁First ▁World ▁War ▁mem orial ▁in ▁South end