Mitral Valve Surgery

Mitral valve surgery is done to repair or replace the calcified or loosened Mitral valve (located between the chambers of heart namely left auricle & left ventricle).

Know More About Surgery

The signs / symptoms that may indicate the requirement of a Mitral Valve Surgery are:

  • Fatigue
  • Tiredness
  • Breathlessness
  • Lightheadedness

The requirement of a Mitral valve surgery can be diagnosed by:

  • ECG
  • EKG
  • Chest X-ray
  • Cardiac MRI
  • Stress test
  • Physical examinations

Under general anesthesia, a 2-3 inch long incision is made in the right side of the chest. The muscles are then divided to see the heart where a cut is made in the left side of heart to repair or replace the valve. 
Surgery can also be done through a groin artery and is called per cutaneous valvuloplasty (in patients who are too sick to have GA as results are generally not long-lasting).
A heart-lung machine is required for this surgery which is connected through small cuts in groin or the chest.

 

There are several risks involved in a Mitral Valve Surgery such as:

  • Blood loss
  • Damage to other adjoining organs
  • Infection in the new valve
  • Blood clots in legs that my travel to lung
  • Heart attack
  • Stroke
  • Breathing problems
  • Arrhythmia
  • Kidney failure

After a Mitral Valve Surgery, it is essential to:

  • Follow the doctor's advice & instructions
  • Maintain proper hygiene to prevent infections
  • Take medications properly

 

Mitral Valve Surgery from best Hospitals and Doctors in Noida

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Mitral Valve Surgery

Mitral valve surgery is done to repair or replace the calcified or loosened Mitral valve (located between the chambers of heart namely left auricle & left ventricle).

Symptoms

The signs / symptoms that may indicate the requirement of a Mitral Valve Surgery are:

  • Fatigue
  • Tiredness
  • Breathlessness
  • Lightheadedness

Diagnosis

The requirement of a Mitral valve surgery can be diagnosed by:

  • ECG
  • EKG
  • Chest X-ray
  • Cardiac MRI
  • Stress test
  • Physical examinations

Treatment

Under general anesthesia, a 2-3 inch long incision is made in the right side of the chest. The muscles are then divided to see the heart where a cut is made in the left side of heart to repair or replace the valve. 
Surgery can also be done through a groin artery and is called per cutaneous valvuloplasty (in patients who are too sick to have GA as results are generally not long-lasting).
A heart-lung machine is required for this surgery which is connected through small cuts in groin or the chest.

 

Risks

There are several risks involved in a Mitral Valve Surgery such as:

  • Blood loss
  • Damage to other adjoining organs
  • Infection in the new valve
  • Blood clots in legs that my travel to lung
  • Heart attack
  • Stroke
  • Breathing problems
  • Arrhythmia
  • Kidney failure

After Procedure

After a Mitral Valve Surgery, it is essential to:

  • Follow the doctor's advice & instructions
  • Maintain proper hygiene to prevent infections
  • Take medications properly

 

FAQ Section

1) How serious is a leaky heart valve?

A leaky heart valve is a condition when the valves which normally perform the function of preventing the back- flow of blood, becomes leaky. Due to this, some of the blood pumped by the heart will leak backwards, known as regurgitation. This condition may go unnoticed. The damage caused due to this condition is dependent on the extent with which it interferes with the rate of blood flow through the heart. It can cause diseases which may be severe or minor and can be dangerous if untreated after it has become severe.

2) What is the survival rate for heart valve replacement surgery?

Heart valve replacement surgery is performed either to replace or repair a leaky valve. This procedure has a good success rate, and according to recent studies, the five-year survival rate of this procedure is 91%. The life expectancy of this procedure is varies with age. However, on an average, the life expectancy of a 60- year- old is about 12 years after the surgery has been performed.

3) How long does a Mitral valve repair last?

A Mitral Valve Repair is usually an open-surgery and may take around two to four hours to be performed. A minimally invasive heart valve replacement may last for a shorter duration with a shorter recovery period.

4) How long is recovery for Mitral valve repair?

After Mitral Valve Repair, your doctor may suggest you to remain in the hospital for a few days, including a day or two in the Intensive Care Unit for close observation of any further complications. The duration of recovery may take a long time, and is highly dependent on the health conditions of the patient prior to the surgery. On an average, the recovery time lasts around four to eight weeks.

5) Is Mitral valve replacement surgery dangerous?

Just like any other surgery, Mitral Valve Replacement comes with its own set of risks and complications. The severity of these risks depends upon the condition of the patient. Some of the possible complications include bleeding, blood clots, infections etc. And some rare severe conditions may even lead to death. However, the risk factor associated with this procedure is quite low due to its high success rate.

6) What is Mitral Valve Replacement?

Mitral Valve is the valve located between the left chambers of the heart, i.e. the left auricle and the left ventricle, which regulates the uni-directional flow of blood in the body. Mitral Valve Replacement is a cardiac surgical procedure performed for the treatment of diseases affecting the mitral valve. It is sometimes combined with a surgery to treat any other heart condition other than mitral valve disease. Your cardiologist will recommend this procedure upon diagnosis of the disease. It involves the replacement or repair of a diseased valve with a mechanical valve or a bio-prosthetic valve made up of cow, pig or human heart tissue.

7) Why does one need to perform Mitral Valve Replacement?

This procedure is usually performed for the treatment of mainly two conditions affecting the Mitral Valve. The first is mitral valve regurgitation, in which the flaps of the leaves do not close tightly enough to prevent the backflow of blood into the left atrium. In the other condition, known as mitral valve stenosis, the flaps of the leaves become stiff or tight, due to which they tend to stick together, resulting in narrowing of the valve and reduced blood flow.

8) What are the risk factors of Mitral Valve Replacement?

Though it is a minor surgical procedure, it is associated with quite a number of risk factors.
Some of them include :

  • Bleeding
  • Blood clots
  • Valve dysfunction
  • Heart rhythm problems
  • Infections
  • Stroke
  • Death

9) When is the right time to undergo Mitral Valve Replacement ?

Based upon the diagnosis of your condition, your cardiologist will recommend the best treatment procedure to follow with. If the extremity of your condition requires a surgery, then it must be performed as soon as possible before the condition can worsen and lead to any grievous circumstances. Upon the surfacing of symptoms like chest pain, shortness of breath or dizziness, your cardiologist or doctor must be consulted and the required treatment must be followed.

10) What are pre-diagnostic measures in Mitral Valve Replacement ?

A thorough check of the patients’ medical history and family history of heart diseases is done.
Some of the other tests that follow prior to the surgery are :

  • Physical Examination
  • Echocardiogram: to measure the video images of the heart using sound waves.
  • Electrocardiogram: to measure the electrical activity of your heart.
  • Chest X-Ray: to check the presence of enlargement of the heart, which is an indicator of aortic stenosis.
  • Cardiac Computerised Tomography (CT) Scan
  • Cardiac MRI Scan
  • Cardiac Catheterization

11) How is Mitral Valve Replacement performed ?

Mitral Valve Replacement is the medical procedure conducted to replace the affected mitral valve in order to restore normal blood flow. It can be conducted through open heart surgery or through a minimally invasive approach. A local anaesthetic is administered to the patient to minimizse pain. An incision is made in the chest region, followed by the separation of the breast bone and the mitral valve is replaced by a mechanical one or a bio-prosthetic one made up of pig, cow or human heart tissue. Some cardiologists suggest mitral repair as it reduces the risk of bleeding and blood clot formation. In a minimally invasive surgery, three to four incisions are made and a catheter is inserted through one of the incisions and the procedure is conducted externally by a specialist surgeon.

12) How long will Mitral Valve Replacement take ?

A Mitral Valve Replacement Surgery may take around two to four hours to be performed successfully. However, a minimally invasive surgery may take longer.

13) What components are used in Mitral Valve Replacement?

The components used for the surgery are the basic surgical tools required for the procedure. Some additional components that might be required are the mechanical valves or the bio- prosthetic valves that needs to be replaced with.

14) Will I experience pain?

A minimal amount of pain might be experienced due to the surgery in the chest region. There might be a sharp, pain and if the medications are consumed as instructed by your doctor, then it will help in toning down the pain. Any kind of severe or extreme pain must immediately be reported and dealt without any further delay.

15) What is the duration of recovery?

The recovery from a Mitral Valve Replacement may take several weeks for the healing of the rib cage and one or two months for complete recovery.

16) What is the cost of Mitral Valve Replacement in India ?

A Mitral Valve Replacement Surgery may cost around fifty thousand rupees in India, which is comparatively lower when compared to that of the other countries.