@neronel, I had a mitral valve prolapse with severe regurgitation. I had no symptoms, other than a heart murmur, when I was examined for carpal tunnel syndrome.
One cardiologist told me to call him when I started getting short of breath, but a different cardiologist told me there were better outcomes when people had surgery before they went into Congestive Heart Failure. I took his advice and had open heart surgery, a repair, with a ring. I think I also had a Mitraclip. I was 69 at the time. I was in the hospital for two weeks after surgery with some complications, but I'm glad I had it done when I did.