Mitral valve is the valve located between the left heart
chambers- left atrium and left ventricle. To treat diseases of the mitral
valve, mitral valve repair and mitral valve replacement are procedures that may
be performed. Different types of mitral valve disease exist:
1. The flaps
(leaflets) of the mitral valve don't close tightly in mitral valve
regurgitation, causing blood to leak backward into the left atrium, which commonly
occurs due to valve leaflets bulging back — a condition called mitral valve
prolapse.
2. The
leaflets become thick or stiff in another condition called mitral
valve stenosis, and they may fuse together, which results in a narrowed valve
opening and reduced blood flow through the valve.
Mitral valve disease treatment depends on the severity of
one’s condition. Doctors may recommend surgery to repair or replace mitral
valves for some individuals with the disease. Open-heart surgery or minimally
invasive heart surgeries are some of the surgical procedures that exist to
repair or replace the mitral valves.
Risks:
Bleeding, blood clots, infection, heart rhythm problems,
stroke, valve dysfunction in replacement valves and death are some of the
mitral valve repair and replacement surgery risks.
Preparation:
Your doctor and treatment team will
explain to you what to expect before, during and after the surgery, and
potential risks of the surgery. They’ll discuss concerns you may have about
your repair or replacement surgery. The procedure will necessitate for you to
shave hair off at the location of your body where the procedure will take
place. Do talk to your family about your hospital stay and discuss help you may
need when you return home before being admitted to the hospital for your
surgery. You’ll need to follow specific instructions in terms of food and
medications, clothing and personal items, precautions regarding medications and
allergies, etc. given by your doctor and treatment team during your recovery
when you return home.
Mitral Valve Repair- Mitral valve repair surgery may involve patching
holes in a valve, reconnecting valve leaflets, removing excess valve tissue so
that the leaflets can close tightly, replacing cords that support the valve to
repair the structural support, and separating valve leaflets that have fused.
Surgeons may tighten or reinforce the ring around the valve (annulus) in a procedure
called an annuloplasty, too.
Mitral Valve Replacement- Your doctor may recommend
replacement if your mitral valve can’t be repaired wherein your doctor removes
the valve and replaces it with a mechanical valve. You’ll need to take
blood-thinning medications for the rest of your life to prevent clots if you
have a mechanical valve. You aren’t required to worry as doctors will discuss
with you the risks and benefits of each type of valve and discuss which valve
may be appropriate for you.
Results:
You may be able to return to daily
activities, such as working, driving and exercise after mitral valve repair or
replacement surgery. Your healthcare provider will discuss with you when you
can return to activities, but you'll generally still need to take certain
medications. Moreover, you’ll need to attend regular follow-up appointments,
and you may have several tests to evaluate and monitor your condition.