A minimally invasive mitral valve replacement is a procedure to replace a poorly working mitral valve with an artificial valve without the need for open heart surgery
.
Can you avoid open-heart surgery?
An expanded indication approved for 2 transcatheter heart valves means
more patients with aortic valve stenosis may be able to avoid invasive open-heart surgery to replace their diseased valve
.
Can a mitral valve be repaired without surgery?
“
In some situations, mitral valve disease is not life threatening and does not require surgery
,” Dr. Kapadia says. “If surgery is recommended and you’re high risk for surgery, we can either repair or replace the mitral valve with minimally invasive procedures.”
Who is a candidate for minimally invasive mitral valve surgery?
Patients with isolated mitral valve disease
may be candidates for minimally invasive surgery, so long as they do not have clinically relevant aortic valve disease or coronary artery disease.
When is surgery necessary for mitral valve regurgitation?
When a patient with mitral regurgitation develops symptoms, a decrease in heart function, or an increase in heart size
, surgery is nearly always recommended. Surgery should also be considered when a patient develops atrial fibrillation, which is an irregular heartbeat.
What is the success rate of mitral valve repair?
With proper patient selection and timely intervention, the estimated success rate of mitral valve repair surgery is
around 95%
. Almost 95% of patients are free of reoperation for 10 years. At 20 years, around 90% of people do not need reoperation for mitral valve repair.
What happens if you don’t fix mitral?
If the mitral valve is damaged or becomes misaligned,
it can’t close completely with each heartbeat
. Some blood spurts backward with each contraction. This backflow, called mitral regurgitation, puts a strain on the heart.
What is life expectancy after mitral valve repair?
Median survival after MV ‐repair was
7.8 years
, close to 8.5 years (95% CI : 8.2–9.4) in the age‐matched UK population (ratio 0.9). Rate of re‐operation for MV ‐dysfunction was 2.3% versus 2.5% (mitral valve replacement, P=1.0).
Can mitral valve regurgitation be cured?
Some people with mitral regurgitation don’t need treatment, especially when the regurgitation is mild.
Severe mitral valve regurgitation often requires a catheter procedure or heart surgery to repair or replace the mitral valve
.
What is the average age for heart valve replacement?
The American College of Cardiology and the American Heart Association currently recommend
mechanical valves for people under age 50 and biologic valves for those over 70
. Between those ages, the groups say, neither type has a clear advantage.
How painful is open-heart surgery?
Generally, open heart surgery is
not a painful experience
. One notable exception is the removal of the drainage tubes, which typically occurs on post-operative day one. It may feel a bit odd and sometimes can be a brief source of pain. It will feel uncomfortable when you cough, laugh or sneeze.
Can you put a stent in a heart valve?
Like small stents used to open blocked heart arteries,
the artificial heart valve with metal stent is delivered to the heart using a catheter
. When it arrives, the stent stretches the heart valve open to wedge it into the old valve, helping blood flow.
Which is better mitral valve repair or replacement?
Whenever possible,
it’s better to repair the mitral valve rather than replace it
.” Mitral valve repair may help you to avoid complications that can occur with mitral valve replacement, including the risk of blood clots with mechanical valves.
What is keyhole surgery for mitral valve repair?
In keyhole surgery, small cuts are made in the chest wall between the ribs. A camera and monitor are inserted through one of the cuts. By watching what is happening on the monitor, the surgeon performs the operation to repair the mitral valve using special instruments inserted through the remaining holes.
Which heart valve is the easiest to repair?
“The
pulmonary valve
is less likely to need repair than other valves,” Dr. Burns says. “Pulmonary valve repair or replacement is rare,” he says. It occurs most often in children born with a heart defect.
Is the heart stopped during mitral valve surgery?
Your heart is stopped while you are connected to this machine
. This machine does the work of your heart while your heart is stopped. A small cut is made in the left side of your heart so your surgeon can repair or replace the mitral valve.
Which hospital is best for mitral valve repair?
The
Mount Sinai Hospital
has received the Mitral Valve Repair Reference Center Award from the American Heart Association® and the Mitral Foundation for its demonstrated record of superior clinical outcomes resulting from evidence-based, guideline-directed degenerative mitral valve repair.
What happens after mitral valve repair?
The incision in your chest may be sore or swollen
. These symptoms usually get better after 4 to 6 weeks. You will probably be able to do many of your usual activities after 4 to 6 weeks. But for at least 6 weeks, you will not be able to lift heavy objects or do activities that strain your chest or upper arm muscles.
How long can you live with mild mitral valve regurgitation?
Widely disparate estimates of long term survival in patients with mitral regurgitation—
between 97–27% at five years
—have been reported.
