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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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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.
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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