**7.2 Complete valve closure**

Complete AV closure is recommended for patients with degenerative AV (leaflet prolapse or mal-coaptation) [18]. This procedure is performed by suturing felt strips to the leaflets or using a patch to cover the valve annulus directly. In the presence of a bioprosthesis, the valve is removed, and a pericardial patch is used to close the outflow tract [71, 74]. This procedure is durable with no AV deterioration or recurrent AI but induces a potential risk of thrombosis and restricts the possibility of myocardial recovery [18, 69, 71].
