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Mitral Valve Regurgitation | Mitral Valve Replacement | Mitral Valve Stenosis

Risks and Prognosis

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Risks of Mitral valve replacement vary according to the patient's pre-existing problems or other associated defects. Overall risk involved in degenerative mitral valve disease surgery is 0.4%. Risk of death is about 7% and thrombosis is about 5%.


Risk of death is high in patients with pre-operative renal insufficiency, cerebrovascular disease, unstable angina and elderly patients.

In general, the complications related to surgery are as follows:

Infection – Skin infections can be treated with proper antibiotics. Breastbone infection is a rare but serious complication. It may even result in the removal of the breastbone or death.

Bleeding

Blood clots because of the mechanical valve.

Thromboembolism - Blood clots travels in the blood and occludes a different artery.

Prosthetic Valve Infection - This is more common than infection of the native valve.

Valve failure (less than 0.01%). Another replacement surgery is required to correct this problem.

Heart attack during or immediately after surgery (0.004%).

Stroke (1%)

Mitral Valve repair is preferred in most patients where replacement can be avoided. The long-term outcomes are good for both, better in mitral valve repair. However, long-term results can be influenced by other pre-existing conditions.

Studies show that ischemic heart disease with severe mitral regurgitation is associated with poor survival rates after mitral valve surgery.

Researchers have reported that death rate in patients over 75 years of age undergoing mitral valve procedures has decreased to a 5% from 27%.


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Posted by:  tjavailable  Posted on: 02/18/2011
Methods for Mitral Valve Repair: Annuloplasty:In annuloplasty an artificial ring is placed around the annulus of the valve.This ring reinforces the annulus and restores the valve to its normal shape and size. Balloon Valvuloplasty:Balloon valvuloplasty is performed using a catheter, i.e. a very thin flexible tube which can be inserted into the body, with a balloon at the end. The balloon is put inside the valve and is expanded thus stretching the valve and bringing it back to its normal size. For more info: heart-consult.com/articles



Posted by:  syras  Posted on: 12/21/2010
Patients with a biological valve may need replacement valve of 10-15 years. Mechanical valves may also fail, so patients should inform their doctor if they have symptoms of valve insufficiency. Patients with mechanical valves must take blood-thinning medication at the end of their lives. Because these medicines increase the risk of bleeding in the body, you should always be used in medical notification bracelet and the doctor or dentist that you are taking anticoagulant medicine. Even if you take anticoagulant medication, you should always inform your doctor and dentist to have had valve surgery. If you have any surgery or dentistry, you should take antibiotics before the procedure. The bacteria can enter the bloodstream during these procedures. If bacteria enter the repair or artificial heart valves, can lead to a serious condition called bacterial endocarditis. Antibiotics can prevent bacterial endocarditis. http://www.insideheart.com/



Posted by:  manuheart123  Posted on: 12/18/2010
Mitral Regurgitation also known as mitral insufficiency or mitral incompetence is a disorder affecting the mitral valve of the heart. The cusps or flaps of the mitral valve do not seal tightly in this condition and causes a backflow of blood through the mitral valve from the left ventricle to the let atrium of the heart. The heart valve in this state is referred to as a leaky valve. http://www.heart-consult.com



Posted by:  tjavailable  Posted on: 11/06/2010
Various symptoms are
* Shortness of breath.
* Pulmonary edema or fluid accumulation in the lungs.
* Orthopnea or shortness of breath while lying flat.
* Paroxysmal nocturnal dyspnea or Cardiac Asthma
* Decreased exercise tolerance.
* Swollen feet or ankles.




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