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Mitral Valve Stenosis And Mitral Valve Replacement

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Mitral Valve Repair

Mitral valve repair can be done in two ways. “Balloon Valvuloplasty” is a cardiac catheterization procedure mostly performed for patients with Mitral Stenosis. An interventional cardiologist does this procedure. A catheter with a balloon at the end of it is placed in the mitral valve opening and inflated. This forces the valves to open, allowing better blood flow through the valves.

Balloon valvuloplasty cannot be performed in patients with calcified mitral valves, presence of blood clots or severe mitral valve regurgitation.

“Open Commissurotomy” is performed mostly on patients with mitral regurgitation. This is an open-heart procedure performed by cardio-thoracic surgeons. Just suturing the cleft in patients with congenital cleft leaflets, controls the mitral regurgitation.

Excess tissues from the leaflets are removed and the cusps are reshaped.
Annuloplasty is where the enlarged annulus or the base of the valve is repaired and supported by an artificial band or ring.

Chordae tendinae are reconstructed if needed using sutures. Any calcium deposits present in the valves are carefully removed.

Recent studies show that early intervention and repair of mitral valve can prevent irreversible heart damage.

Repair holds better outcome for patients with degenerative disease. Depending on the cause of mitral regurgitation, a simple repair has 85-90% chance of a patient not needing further intervention for the next 10 years.

Rheumatic valves are better replaced than repaired because they are usually both stenotic and regurgitant.

Valves damaged due to bacterial infection are occasionally repaired.

Isolated mitral valve disease is repaired using the minimally invasive method, where the heart is exposed by a 2-3 inch incision on the right chest or middle of the sternum. The procedure can also be performed using a robotic device that helps in doing a more precise surgery.

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Patients undergoing mitral valve replacement are susceptible to the following risks. Bleeding, infection, complex reaction to anesthetic. The risk involved in most cases can be determined by the physician and it depends on a variety of factors such as the patient’s age, general condition, specific medical problems and heart functions.

tjavailable Saturday, February 19, 2011
Alternative treatment is 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.
tjavailable Saturday, February 19, 2011
can you pl guide me what to do i have mitral valve balooning twice after gap of 10 years and presently,I am only 30 years old.I am on acitrom 2 mg [Anticoagulant], metolar 25 mg and Penicilin 10 lacs once in three weeks.I am having feeling of irregular heart beating and sometimes irregular palpitations.I had undergone check up in 2008 june last time everything was ok and there was no need of balloning that time.Is it possible that there may be severe damage only in these two yaers that is between 2008 to 2010.Pl suggest and what could be the situation.
Rahul_5 Friday, October 29, 2010
hallo, i am suffering from mitral valve stenosis for about 3.5jear. am like you help me without operation.
rolando Friday, May 01, 2009
My mother had sucessive surgery. I flew her to NYC to see Dr David Adams ..the worlds greatest in mitral valve repair and replacement. His entire team at Mount Sinai is fabulous. He see patients from around the world.
guest Saturday, October 24, 2009
i am suffering from Mitral stenosis(Moderate-severe)and Mitral regurgitation(Mild-moderate).The disease surfaced some 5/6 months back.i am intrested in the latest non surgical treatment.please guide/help me.thanks with regards,waiting for your reply.
guest Thursday, May 22, 2008

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