The mitral valve is between the left heart chambers (left atrium and left ventricle).
Mitral valve repair and mitral valve replacement may be done as an open-heart surgery procedure or as minimally invasive heart surgery
. Sometimes a mitral valve problem may be treated with a catheter-based procedure.
Can the mitral valve be repaired without open-heart surgery?
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 mitral valve be fixed?
If your surgeon can repair your mitral valve, you may have:
Ring annuloplasty
— The surgeon tightens the valve by sewing a ring of metal, cloth, or tissue around the valve. Valve repair — The surgeon trims, shapes, or rebuilds one or both of the flaps that open and close the valve.
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).
Will I survive mitral valve surgery?
In 2020, the survival rate for patients at Duke undergoing isolated mitral repair was 100% versus 99% in the STS national registry
, and survival for isolated mitral valve replacement was 100% at Duke versus 94% in the STS. Source: Data Analyses of The Society of Thoracic Surgeons.
What are the side effects of mitral valve repair?
- Bleeding.
- Blood clots.
- Malfunction of the replacement valve.
- Irregular heartbeats (arrhythmias)
- Infection.
- Stroke.
- Death.
Is it better to repair or replace a mitral valve?
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.
Is heart valve surgery risky?
Possible risks of heart valve repair or replacement surgery include:
Bleeding during or after the surgery
. Blood clots that can cause heart attack, stroke, or lung problems. Infection.
How common is mitral valve surgery?
Mitral valve repair was performed in
1137 (71 %) patients
and 476 (29 %) had mitral valve replacement. Direct aortic cannulation was achieved in 1325 (83 %) patients. Among patients with degenerative disease candidate for repair (n = 958), rate of mitral valve repair was 95 %.
Can a leaky mitral valve heal itself?
Unfortunately,
heart valves do not tend to heal themselves
. It is true that some infants born with heart murmurs will eventually grow out of the murmur as the heart matures.
Does mitral valve regurgitation shorten your life?
Patients with residual or recurrent regurgitation have reduced event-free long-term survival
and many will require reoperation.
What happens if a leaky heart valve is not repaired?
With a leaky valve, sometimes not enough blood gets pumped to the rest of the body. Heart valve leakage/regurgitation can force the heart to work harder to do its job. The condition can lead to
heart failure, sudden cardiac arrest, and death
.
What are the symptoms of a leaky mitral heart valve?
- Shortness of breath with exertion.
- Shortness of breath when lying flat.
- Tiredness (fatigue)
- Reduced ability to exercise.
- Unpleasant awareness of your heartbeat.
- Palpitations.
- Swelling in your legs, abdomen, and the veins in your neck.
- Chest pain (less common)
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 long can you live with mild mitral valve regurgitation?
In developing countries, it progresses much more rapidly and may lead to symptoms in children less than 5 years of age. Around 80% of patients with mild symptoms live for
at least 10 years
after diagnosis.
