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Doctor insights on: How Is A Heart Valve Surgically Repaired

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How is a heart valve surgically repaired?

How is a heart valve surgically repaired?

Depends which valve: Repair most commonly is done on mitral valve, especially when mitral prolapse is present. The excess, "floppy" tissue causing the valve to prolapse is excised to make leaflets more taught. Sometimes an artificial ring is inserted around the base of the leaflets to cinch the whole apparatus together, if it has become dilated, preventing leaflets from closing up against each other. ...Read more

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Dr. Janice Alexander
1 doctor shared a insight

Valve (Definition)

A valve is a structure that regulates the direction of flow. The heart is a special kind of pump. It moves blood by squeezing and relaxing. There are 4 chambers and each chamber has a valve. This keeps blood from moving backwards when the heart squeezes. When a chamber squeezes it lets the blood move forward but when the chamber is relaxed it prevents the blood from ...Read more


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How is a malfunctioning heart valve repaired?

How is a malfunctioning heart valve repaired?

Depends: This is a very open-ended question. Dependent on the valve involved and the malady, the valve may be repaired or replaced. You have to be a bit more specific. ...Read more

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How is a heart valve successfully replaced?

Two ways: In the past, this is done with open heart surgery and the old valve is cut out and a new one sewn in to replace it. A new technique for the aortic valve involves crushing the old valve by blowing up a balloon and then placing the new valve through an artery in the leg, just as is done with a coronary artery stent. The procedure has been used successfully in high risk patients for surgery. ...Read more

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How is a damaged valve fixed?

How is a damaged valve fixed?

Depends on problem: Sometimes a valve that doesn't open properly can be helped by opening with a balloon procedure. Sometimes a prosthesis can be passed into the heart via a catheter. Other problems can be fixed by surgically trimming or tightening the valve. In many cases, the best available treatment is to remove the valve and replace it with an artificial valve made from metal, plastic, fabric, or animal tissue. ...Read more

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Mitral valve prolaps surgery, how can this be done?

Mitral valve prolaps surgery, how can this be done?

By an expert.: Alain carpentier and david adams perfected the technique for mitral valve repair, so well that the likelihood of successful repair is nearly 100%. The determination of whether a repair is indicated is determined by echocardiographic determination of the degree of valve leaking. Alain carpentier has retired; david adams is chief of cardiac surgery at mt sinai in new york city. ...Read more

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Can a leaking heart valve be repaired and/or replaced without opening the chest?

Sometimes: Nothing available for the mitral or tricuspid valves yet, but the aortic valve can be replaced with a transcatheter inserted valve. This is not for everyone though. It is still considered rather experimental, and reserved only for those who are unable to have open heart surgery. I look forward to advances in these procedures, and hope one day there is a routine, non-ohs alternative. ...Read more

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How to repair a damaged heart valve?

How to repair a damaged heart valve?

Are you a surgeon?: Some heart valves can be repaired. Some can't. Full textbooks and extensive lecture series with demonstrations are devoted to this subject. Most people rely on their doctor who can refer them to a surgeon who is very practiced in this highly technical field. ...Read more

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Can a leaky mitral valve be repaired or best to have it replaced?

90% should be repair: On average 90% of patients with mitral regurgitation diseased valves should be amenable to surgical repair. This can usually be done with minimally invasive surgical techniques. ...Read more

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How common is a femoral artery injury during a heart cath that needs surgery to repair?

Fairly rare: About 15-20 % of all femoral artery catheterizations have some type of complication, either bleeding or clotting. Much fewer than this actually require surgery. ...Read more

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How dangerous is an aortic valve replacement?

How dangerous is an aortic valve replacement?

Reasonably safe: Generally aortic valve replacement is a reasonably safe procedure. The operative risks however depends on the overall condition of the heart, age, presence or absence of other problems such as lung and kidney disease and the overall physical strength of the patient. In most cases the surgical risk should be less than 5% chance of a bad outcome. ...Read more

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How can the mitral valve be replaced?

How can the mitral valve be replaced?

Many options: Depending on pts age as well as the characteristics of the valve, there are many options. Mitral valve repair -using the pts own valve and perhapse a ring. Mv replacement-the whole valve is replaced by either a mechnical valve pig valve or a bioprosthetic. Another new technology involves catheter based options such as a clip. All types have pros and cons including possible Coumadin (warfarin) therapy. ...Read more

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How is mitral valve repair done on babies?

How is mitral valve repair done on babies?

Depends : The technique depends on the specific issue with the valve. Some require complete replacement while others require "plasty" which involves repairing the leaflet or ring around the leaflets. Please discuss this more with your child's cardiologist. ...Read more

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Can repairs to enlarged mitral, atrial and aortic valves be done in a single surgery?

Yes: The more valves that are involved the higher the risk. Or if there is coronary artery disease in addition to valve disease operative risk is increased. ...Read more

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Is annuplosty ring put in around valve done for mitral valve repair the best way for a surgeon to repair your mitral valve if leaking.

Is annuplosty  ring put in around valve done for mitral valve repair the best way for a surgeon to repair your mitral valve if leaking.

Yes: Mv repair involves anuloplasty ring, they will do additional repair depending on the valve eg; if there is flair chord they will fix it, if there is prolapse or flail leaflet, they cut part of it and repair it etc. ...Read more

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What causes heart valve leakage on a repaired mitral valve? I had a mitral valve repair, what will cause the repaires valve to start to have some leak

What causes heart valve leakage on a repaired mitral valve? I had a mitral valve repair, what will cause the repaires valve to start to have some leak

Some leakage : Some leakage is the norm. This is nothing to worry about. Your cardiologist will keep an eye on this . You will have periodic echocardiograms (maybe every year or more) to follow this. What you do not need to do is fixate on this and worry yourself to death! you are better - enjoy this! hope this helps! ...Read more

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How long of a procedure is a mitral valve replacement?

How long of a procedure is a mitral valve replacement?

4 hours: The surgery might take approximately 4 hours. You would expect to spend, on average, 5 days in the hospital. Complete recovery takes approximately 2 months. If the repair is done in a minimally invasive fashion, the hospital stay might be 3-4 days and full recovery might take only one month. ...Read more

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How effective is heart catheter surgery for atrial septal defect?

How effective is heart catheter surgery for atrial septal defect?

Good: If the defect is not overly large, and is located in the center part of the atrial septum (typically an osmium secundum atral septal defect), and there are no associated cardiovascular problems, the short-term and long-term outcomes are very good and catheter based closure is safe in experiences centers. ...Read more

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Can aortic regurgitation be treated with TAVR surgery or is it only viable for aortic stenosis?

Can aortic regurgitation be treated with TAVR surgery or is it only viable for aortic stenosis?

TAVR: Transcatheter Aortic Valve Replacement (TAVR) involves implanting a device (a stent-like frame with a valve inside it) where the existing aortic valve sits between the heart and the aorta. The original valve is not removed. TAVR is currently an option for certain patients with Aortic Stenosis (their own valve does not open well) particularly those who are not good candidates for surgery. ...Read more

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How hard is the surgery for a?Patent ductus arteriosus repair?

How hard is the surgery for a?Patent ductus arteriosus repair?

Depends: In very small infants, the ductus will be ligated (pinched closed with a surgical clip). Most risk comes from the anesthesia and partially collapsing the lung to visualize the area. In older infants & children, a PDA may be closed through a cath procedure, where a large IV is inserted into a vein and a small plug is placed into the PDA -- no surgery at all, & practically an outpatient procedure! ...Read more

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