Mitral Valve Clip Procedure
During the procedure, your surgeon and cardiologist will place a catheter in your femoral vein in the groin area. Using a guide wire, he or she will move the catheter to your left atrium , then put the MitraClip® through the catheter. Once inside your heart, your surgeon will put the clip in the leaflet of the mitral valve to reduce the leak. In some cases, the surgeon may need to insert more than one clip.
Transcatheter Aortic Valve Replacement
Transcatheter aortic valve replacement is a procedure used to replace the aortic valve without opening the chest. It is used to treat adults who aren’t healthy enough for regular valve surgery.
The aorta is a large artery that carries blood from your heart to the rest of your body. Blood flows out of your heart and into the aorta through a valve. This valve is called the aortic valve. It opens up so blood can flow out. It then closes, keeping blood from flowing backwards.
An aortic valve that does not open fully will restrict blood flow. This is called aortic stenosis. If there is also a leak, it is called aortic regurgitation. Most aortic valves are replaced because they restrict flow forward through the aorta to the brain and body.
Why Is Open Heart Surgery Performed
Your doctor may recommend open heart surgery to treat a variety of diseases and conditions of the heart. Your doctor may only consider open heart surgery for you if other treatment options that involve less risk of complications have been ineffective. Ask your doctor about all of your treatment options and consider getting a second opinion before deciding on open heart surgery.
Your doctor may recommend open heart surgery for:
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Doctors Tips To Achieve Faster Recovery
Anticoagulants Medicines: Patients who have undergone heart valve replacement surgery should take anticoagulants for approximately a few weeks post heart valve replacement surgery to avoid any dangerous blood clot, which may take place during the recovery period.
Diet to Follow during the Recovery Period: You have to include fiber and fruit in your regular diet to alleviate with the problem of constipation that may take place because of painkillers. Moreover, you should eat foods rich in various essential nutrients, such as vitamins and minerals to assure faster healing of your body.
Physical Exercise Routine: Doctors may recommend you following a regular exercise routine. For this, you should work with a good physical therapist, so that you may get a sound exercise regimen consisting of minimum level of workout you require. Moreover, you should make sure to avoid any strenuous exercise.
Regular Sleep Pattern: You should make sure to setup a normal/regular sleep pattern. This means, you should strictly avoid any nap or avoid intake of sleeping pills until and unless it becomes very much essential to do it.
Hygiene: Patients with heart valve replacement surgery should make sure to wash the surgical incisions daily by applying a suitable antiseptic soap and water. You may opt to do this while you take bath. However, you should make sure to intimate your doctor if you notice any sign/symptom of infection, such as redness or swelling in the wound/incised area.
Why Would The Mitral Valve Need Surgery
When the mitral valve doesnt function properly, blood flow is inhibited, possibly leading to breathing difficulty, swelling of the leg, and irregular heart rate, which can lead to blood clots and strokes.
Mitral valve leakage, also called regurgitation, is a common diagnosisits when the valve grows loose causing mitral valve prolapse , allowing blood to flow backward. Another, but less common, condition is mitral valve stenosis. This is when the leaflets in the valve thicken, sometimes fusing together, preventing blood from flowing through the heart.
If possible, your doctor will try to repair your mitral valve rather than replace it. But, if there is severe damage, replacement may be required. Replacement involves implantation of the valve, using either a man-made, mechanical valve or one from animal tissue. The mechanical valve has the benefit of lasting longer but requires the patients to take blood thinning medications throughout their lives tissue valves do not require blood thinners but will not last as long and tend to need replacement after 10 or 15 years.
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What Did This Study Do
This systematic review identified 93 observational studies including a total 53,884 adults undergoing bioprosthetic aortic valve replacement for severe aortic stenosis. Only studies published after 2006 were included to ensure relevance to current technologies. Patients were enrolled between 1977 and 2013. Average patient age was 53 to 92 years.
The researchers carried out several subgroups analyses to examine the influence of different factors. These included patient age, whether the study also included mechanical valves, and risk of study bias.
Overall the risk of bias was assessed as low in 51 studies, moderate for 21, and high risk for 21 studies.
When Surgery Becomes Essential
Now, the question that comes in the mind when a patient should undergo for surgery related to mitral valve repair/replacement. For this, experts said that treatment to cure mitral valve disease depends on severity associated with ones condition. Doctors thus recommend for surgery to replace or repair mitral valves for only some people.
Types of Surgical Procedures Available: A large number of surgical procedures are available to replace or repair mitral valves. However, the common ones are
- Open-heart mitral valve surgery and
- Minimally invasive cardiac surgery
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Can A Heart Valve Repair Itself
No, a heart valve cant repair itself. Valve disease doesnt go away. It gets worse with time. As the disease gets worse, youll have more symptoms and your overall health will suffer. These changes often happen slowly, but they can also occur very quickly.
Depending on the type and extent of valve disease you have, you may be able to take medication for the short term. Surgery is the only effective long-term solution, and your healthcare provider will help determine when its time to pursue that option.
Transcatheter Mitral Valve Repair With Mitraclip
Transcatheter mitral valve repair is the least invasive mitral repair procedure, but it does come with some limitations on what surgeons and/or cardiologists can do. The only FDA-approved transcatheter mitral valve repair surgery is called MitraClip® . This procedure is for patients who are at higher risk and cannot get open-heart surgery. In most cases, this procedure will not stop a leak, but it can reduce the leak and improve symptoms.
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Why Might I Need Heart Valve Repair Or Replacement Surgery
Valve repair or replacement surgery is done to correct the problems causedby one or more diseased heart valves.
If your heart valve becomes damaged or diseased, you may have thefollowing symptoms:
The repaired or replaced valve doesn’t work correctly
There may be other risks depending on your specific medical condition. Besure to discuss any concerns with your healthcare provider before theprocedure.
Types Of Mitral Valve Surgery
- Full sternotomy The surgeon will make an eight- to 10-inch incision down the center of your chest, then cut through the sternum to access your heart. Full recovery from this open-heart procedure can take several months.
- Transcatheter mitral valve repair surgery The surgeon will place a MitraClip® through a thin tube inserted into a vein in your groin area . This procedure is approved for high-risk patients who cannot get traditional surgery and failed optimization with medical management.
- Transcatheter mitral valve replacement surgery This has only been done on a small group of patients using a valve that was designed for aortic valve replacements. It is not approved for most patients. These procedures come with high risks and a person must have a very specific anatomy for them to succeed. Clinical trials are currently underway to test the effectiveness of mitral valve replacements using transcatheter replacement.
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Recovering From Mitral Valve Replacement Surgery
You will spend five to seven nights in the hospital following your surgery. After discharge, you will need to rest and recover for three to four weeks at home. Your doctor will talk to you about how to slowly increase your activity for a safe and successful recovery. You will need someone to drive you home from the hospital.
You will be on a blood thinner medication for at least several months following your surgery. Some patients will need to take a blood thinner for the rest of their life.
Anatomy Of Aortic Valve
The heart pumps blood into the aorta, the largest artery of the body. The aortic valve is an opening or closure which separates the heart and aorta. When the heart pumps the blood the aortic valve opens so that the blood passes through it. After the blood passes, it closes so that the blood does not flow back. The aortic valve can become faulty in two ways:
- Firstly, it does not close properly so there is back flow or leakage of blood. This condition is known as Aortic Regurgitation.
- Secondly, it does not open completely or properly so the required amount of blood is not able to pass through the aorta. This condition is known as Aortic Stenosis.
In both the cases the replacement of aortic valve or an aortic valve surgery has to be done.
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Time Spent For The Preparation Of Your Surgery
Even though the actual procedure requires hours to obtain a valve repair or up to 2 hours for a valve replacement, both patients and doctors have to dedicate some time for the preparation for your surgery. During this phase, your doctor and his team will explain you about the expectations before, during and after your mitral valve surgery, along with the potential risks. The counseling session takes place for about few hours, during which you have to discuss and resolve your queries related to the surgical procedure.
How Long Does A Mitral Valve Replacement Last
The success rate for replacement surgery is good and has very few risks. The most common risks of this surgery include:
- stroke, or
- death .
Your body will not usually reject the valve, but over time the valve can wear out. Biologic valves made of human or animal tissue only last for about 10 to 15 years. Synthetic valves can last longer, but have higher risks of blood clotting.
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From Hospital Discharge To 6 Weeks
As you begin getting back into your routine, remember to start with small tasks and take plenty of breaks. Dont overdo it.
After you leave the hospital, unless your surgeon says otherwise, you may return to activities such as:
- Light cleaning.
- Climbing stairs.
Some things are still off limits, though.Dont lift, pull or push anything that weighs more than 10 pounds. Its too soon to drive, too, but its OK to ride in a car.
Heart Valve Repair Or Replacement
For the heart to work well, blood must flow in only one direction. The heartâs valves make this possible. Healthy valves open and close in a precise way as the heart pumps blood.
Each valve has a set of flaps called leaflets. The leaflets open to allow blood to pass from one heart chamber into another or into the arteries. Then the leaflets close tightly to stop blood from flowing backward.
Heart surgery is used to fix leaflets that donât open as wide as they should. This can happen if they become thick or stiff or fuse together. As a result, not enough blood flows through the valve.
Heart surgery also is used to fix leaflets that donât close tightly. This problem can cause blood to leak back into the heart chambers, rather than only moving forward into the arteries as it should.
To fix these problems, surgeons either repair the valve or replace it with a man-made or biological valve. Biological valves are made from pig, cow, or human heart tissue and may have man-made parts as well.
To repair a mitral or pulmonary valve thatâs too narrow, a cardiologist will insert a catheter through a large blood vessel and guide it to the heart.
The cardiologist will place the end of the catheter inside the narrow valve. He or she will inflate and deflate a small balloon at the tip of the catheter. This widens the valve, allowing more blood to flow through it. This approach is less invasive than open-heart surgery.
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Days And Weeks Following The Heart Surgery
During the phase consists of days and weeks following the heart surgery, people usually expect to regain their energy gradually and return to the regular activity levels. Although, the surgeons and cardiologists recommend the necessary medications and care tips to assure the fastest possible recovery of patients support from family members and friends act as the prime key to faster recovery in them.
Conventional Heart Valve Surgery
Heart valve disease initially may be treated medically but, in most cases, surgery is necessary to repair or replace the damaged valve or valves. Your surgeon will determine which procedure is best for you, taking into consideration your age, medical history, the nature of your heart disease, your lifestyle and your ability to take anticoagulants .
For heart valve replacement, there are three main classifications of artificial valves:
- Bioprosthetic valves are from animals specially treated with chemicals to avoid rejection.
- Mechanical valves are made of metal, carbon and/or synthetics. Anticoagulation is required to prevent blood clots.
- Biologic valves are human heart valves obtained from donors after death and frozen for later use . In the Ross procedure, the patient’s own pulmonary valve replaces the diseased aortic valve and in turn is replaced by a homograft valve.
Some valves can be surgically repaired to help them open or close more efficiently. Two common surgical repair procedures are:
- Ring Annuloplasty is a procedure in which the annulus or ringlike part of the valve is tightened by placing a ring of metal, cloth or tissue around the valve.
- Valve Repair is a procedure to reconstruct the leaflets, chordae, and/or papillary muscles of the valve.
The average time required for heart valve surgery is four hours. Your heart valve surgery will be performed by a specialized team:
Heart valve surgery can be performed by three surgical approaches:
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What Is The Mitral Valve And How Does It Work
The heart constantly pumps blood throughout the body. Blood enters the heart from the lungs, coming in to the two pumping chambers on the left, called the left atrium and the left ventriclethe mitral valve helps blood flow through them. Like other heart valves, the mitral valve has leaflets, or flaps, that act like small gates, opening to let blood flow through and closing to keep it from flowing backward.
Problems can develop with any of the hearts four valves, but the mitral valve is one of the most likely to require repair or replacement surgery.
What Is Your Valve Repair Rate For My Disease
It is not enough to ask your surgeon for his or her overall repair rate. You will need to know his or her success rate for the specific problem that you have. A surgeon may be successful in repairing 90% of all valves, but on the other hand, may be successful in repairing only 50% of Barlow valves. You should go ahead with a repair only if the surgeon feels he or she can guarantee a repair with a high probability, especially if you are asymptomatic.
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Drive Before Youre Ready
If your doctor tells you not to get behind the wheel â whether itâs for 2 weeks or 2 months â itâs for a good reason. Your reaction time may be slower and you could get into an accident. Until youâre ready to handle it, get lifts from a friend or family member. Or ask them to do your errands for you.
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Hear From Our Patients
Greg Denning has never really liked going to the doctor, and for most of his life hes been an active person who was able to avoid significant medical care. That started to change one day when he was building a cabin in Wyoming. He started experiencing physical symptoms, like shortness of breath and fatigue, that made his wife worry, especially as his symptoms worsened over time. Then, during a routine physical, Gregs primary care doctor noticed signs of a heart problem and immediately sent him to a cardiologist. He was eventually diagnosed with a severe mitral valve leak that would require heart surgery.
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Related Question For Is It Normal To Be On Oxygen After Open Heart Surgery
How long are you intubated after heart surgery?
The average intubation time after CABG was 14.93Â±8.63 hours.
How long does breathing tube stay in after open heart surgery?
In most cases, all tubes are removed in 24 to 48 hours. Chest Tubes/Pacemaker Wires: Chest tubes allow blood and fluid that form inside your chest to drain out. The tubes are usually removed the first or second day after surgery.
How long do you stay in ICU after open heart?
A person undergoing open heart surgery will need to stay in the hospital for 7 10 days. This includes at least a day in the intensive care unit immediately after the operation.
How can I improve my breathing after heart surgery?
Chest Breathing is an easy deep breathing exercise which you can do lying down. Inhale deeply through the nose, hold for three seconds then exhale through pursed lips. Repeat ten times. Coughing is also a breathing exercise that helps get rid of mucus from the lungs.
How much should I walk after heart surgery?
Most patients should be capable of walking at least 1 to 1.5 miles per day at one month after surgery. As you recover from heart surgery, walking represents the best form of exercise for you. You should consult with your doctor before taking up more vigorous forms of activity such as swimming or biking.
Does personality change after open heart surgery?
Personality and Emotional Changes
Is it OK to sleep on your side after open heart surgery?
What is the best exercise after heart surgery?
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