How Long Does It Take To Recover From Mitral Valve Repair Surgery

Overview

Mitral Valve Repair at Cleveland Clinic

At Cleveland Dispensary we have the globe's greatest feel with mitral valve repair, the all-time choice for almost patients with a leaking mitral valve (mitral regurgitation).

Our surgeons take special expertise in mitral valve repair. As a consequence, at Cleveland Dispensary, nearly all leaking mitral valves are repaired rather than replaced. A repair rate of well-nigh 100% for patients with leaking mitral valves provides patients with ideal outcomes. And for those with isolated mitral valve issues, the majority of operations are performed robotically or minimally invasively, ensuring rapid recovery.

In 2019, patients traveled to Cleveland Dispensary from all 50 states and 103 countries for their cardiovascular care.

What are the symptoms of a leaking mitral valve?

Many patients with mitral valve affliction are asymptomatic (accept no symptoms), even with a leak that is severe. When symptoms develop, they include shortness of breath, fatigue, loss of energy, swelling of the ankles and palpitations (extra or skipped heart beats).

How is a leaky mitral valve diagnosed?

The start step involves listening with a stethoscope. Using a stethoscope, the doctor hears a murmur, which represents turbulent blood flow across an abnormal valve. The diagnosis is confirmed by an echocardiogram. Ultrasound is used in an echocardiogram to allow the dr. to visualize the centre valves and determine the severity and cause of the leak. In most patients, a standard transthoracic echocardiogram (a probe placed on the skin of the breast) is adequate to visualize the valve. Sometimes a transesophageal echocardiogram (a probe passed through the oral cavity into the esophagus) is necessary to more than closely visualize the valve; this is an outpatient procedure.

What is mitral valve prolapse?

Mitral valve prolapse is a common condition in which the mitral valve leaflets are floppy or loose. Mitral valve prolapse is diagnosed by echocardiography. Almost patients with mitral valve prolapse do not have a leaky valve and practise not require surgery. When a valve with prolapse has a severe leak, surgery should be considered.

Mitral Valve Prolapse

What are the indications for surgical repair of a leaking mitral valve?

Surgery should be considered when the leak is severe. In most facilities, the regurgitation (leak) is graded on a scale from 0 to four, with 0 being no leak and 4 being a severe leak.

Surgery should be considered in nearly all patients with a leak that is graded as a 4 (severe) and in some patients with a leak that is graded equally a 3 (moderately astringent). When a patient with mitral regurgitation develops symptoms, a decrease in heart function, or an increment in center size, surgery is almost always recommended. Surgery should also be considered when a patient develops atrial fibrillation, which is an irregular heartbeat. Surgery is also recommended in near asymptomatic patients who have a severe leak. In asymptomatic patients with severe mitral regurgitation, surgery improves long-term survival. In contrast, waiting for the development of symptoms or changes in heart function tin exit patients with permanent heart impairment.

What is the adventure that a leaky mitral valve tin can exist repaired?

Nearly 100%. The nearly common cause of mitral regurgitation is a condition called degenerative mitral valve disease—this is also called mitral valve prolapse, myxomatous mitral valve disease, and a floppy mitral valve. Such valves tin be repaired (rather than replaced) in more than than 95% of patients. Cleveland Clinic eye surgeons have the globe's largest experience with mitral valve repair.

What is the gamble that a leaky mitral valve can be repaired minimally invasively?

Approximately 60-lxxx%. When a patient requires isolated mitral valve surgery for a degenerative valve, at Cleveland Clinic we can perform the performance through a 2 to 4 inch skin incision in in the majority of cases. Preoperative testing enables usa to choose the safest approach for each patient. We offer several dissimilar minimally invasive approaches, including a small incision on the right chest, a small incision in the mid-line, and robotically assisted procedures. Expertise with several approaches enables us to make up one's mind the all-time process for each patient, optimizing results.

Procedure Details

Minimally Invasive Mitral Valve Repair

Cleveland Dispensary surgeons are pioneers in the development of minimally invasive techniques for mitral valve repair. Today, the majority of isolated mitral valve repairs tin be performed through a two-3 inch incision on the right side of the chest. In many cases, nosotros can employ the surgical robot and limit incision size to 1 inch.

Full Sternotomy

Partial Sternotomy

Correct Thoracotomy

Robotic

Several minimally invasive approaches are available to patients. Minimally invasive approaches may also be used for patients who crave aortic valve or tricuspid valve surgery, solitary or in combination with mitral valve surgery. In addition, Cleveland Clinic is a leader in percutaneous (through the skin) approaches to mitral valve repair, which may lead to additional treatment options in the time to come.

Advantages of minimally invasive approaches include faster recovery, less pain, reduced demand for blood transfusion and better cosmetic upshot. We evaluate each patient for robotic and minimally invasive surgery and work with the patient to cull the best and safest approach in each example.

Acquire about minimally invasive mitral valve repair: types of incisions, surgical options, photos and videos.

Mitral Valve Repair Surgery — Surgical Techniques

Cleveland Clinic surgeons have been instrumental in the development and application of modern mitral valve repair techniques. Bug with the posterior leaflet are mostly corrected by a small serial of chords or a small resection of the aberrant portion of the valve. Inductive leaflet dysfunction is managed past creation of new chords or chordal transfer. Anterior leaflet repair techniques are technically challenging, requiring a skilled and experienced surgical team to attain the best upshot. All repairs include an annuloplasty, which is a complete or fractional ring placed around the circumference (rim) of the valve.

Mitral Valve Posterior Leaflet Prolapse — Valve Repair Surgery

During mitral valve repair middle surgery, triangular resection is the technique used most oftentimes for posterior leaflet prolapse.

Triangular Resection Mitral Valve Repair

Ruptured chords at gratuitous edge of posterior leaflet. Region to be resected is indicated.

Abnormal segment has been removed. Leaflet edges are sewn together.

Annuloplasty completes the repair.

Mitral Valve Anterior Leaflet Prolapse — Valve Repair Surgery

When in that location is mitral valve prolapse of the inductive leaflet, repair is more complex and requires greater surgical expertise. To right inductive leaflet prolapse caused past a ruptured or elongated chord, we usually create new chords out of Gore-Tex. These Gore-Tex chords generally last forever. A 2d technique used for correction of anterior leaflet prolapse is chordal transfer, which involves transfer of chords from another part of the valve to the surface area with abnormal chords. Both techniques provide excellent long-term results for patients.

Gore-Tex® Chord for Correction of Anterior Leaflet Prolapse

Ruptured Chord

Later Chordal Repair

Chordae may be constructed from Gore-Tex® sutures. A Gore-Tex® suture is affixed to the caput of the papillary musculus and then passed through the costless border of the unsupported anterior leaflet, providing support.

Long-term durability is splendid. The new chordae practise non rupture or elongate.

Chordal Transfer to Treat Anterior Leaflet Prolapse

Chordal transfer to right anterior leaflet prolapse.

Posterior leaflet chordae are transferred to the unsupported free border of the anterior leaflet. The posterior leaflet is then repaired. A cloth annuloplasty ring completes the repair.

Mitral Valve Repair — Special Situations

Mitral Valve Repair and Atrial Fibrillation

Many patients with mitral valve disease have atrial fibrillation, (an abnormal heart rhythm.) For these patients, at the time of mitral valve repair, Cleveland Clinic surgeons perform an ablation (Maze procedure) with the intent of curing the atrial fibrillation. In some patients with atrial fibrillation, a sternotomy (standard) approach may provide the best results.

Previous Mitral Valve Repair with Recurrent Mitral Regurgitation

In rare instances, a mitral valve repair may fail over time. While nearly surgeons supervene upon such valves, Cleveland Clinic surgeons tin frequently re-repair these valves, offering excellent long-term durability and the important advantages that go with mitral valve repair.

Previous Middle Surgery with Recurrent Mitral Regurgitation

Occasionally, a patient who has had previous featherbed surgery, aortic valve surgery or other center surgery develops a new problem with the mitral valve. In these re-operative settings, Cleveland Dispensary surgeons tin safely and effectively repair nearly all leaking mitral valves.

Mitral Valve Repair for Endocarditis

When infection damages a mitral valve (endocarditis), repair is particularly challenging. Because of their all-encompassing experience with such patients, Cleveland Dispensary surgeons successfully repair the mitral valve in the bulk of patients who have had endocarditis.

Mitral Calcification

Occasionally, a patient with mitral regurgitation has all-encompassing calcium deposits on the valve leaflets or annulus. The calcium makes repair difficult and requires application of advanced surgical techniques and sound judgment. Cleveland Clinic surgeons take the expertise to ensure excellent outcomes in patients with calcified mitral valves.

Mitral Valve Repair in Women with Breast Implants

We can unremarkably perform a minimally invasive approach in women with breast implants. Working with a plastic surgeon, nosotros remove the right chest implant through a small, cosmetic incision We so repair the mitral valve through the same incision. The plastic surgeon then replaces the breast implant, frequently upgrading to a newer implant.

Risks / Benefits

Your Eye Valves

Advantages of Mitral Valve Repair: Why Repair Is Better Than Replacement

Mitral valve repair is the best option for well-nigh all patients with a leaking (regurgitant) mitral valve and for many with a narrowed (stenotic) mitral valve.

Compared to valve replacement, mitral valve repair provides better long-term survival, better preservation of middle role, lower risk of complications, and unremarkably eliminates the need for long-term employ of blood thinners (anticoagulants). For these reasons, Cleveland Dispensary surgeons are committed to mitral valve repair, when possible.

Advantages of Mitral Valve Repair:

• Ameliorate early and late survival (Longer life!)
• Improved lifestyle
• Ameliorate preservation of eye function
• Lower risk of stroke and infection (endocarditis)
• No demand for blood thinners (anticoagulation)

Your Mitral Valve

Mitral Valve Chordae and Papillary Muscles

What is the risk of mitral valve surgery?

For asymptomatic patients having mitral valve repair, the operative chance is approximately 1 in 1000. Risk in symptomatic patients remains well under 1%. The presence of coronary avenue disease or other weather condition that require surgical handling will affect your individual run a risk. Ask your dr. nearly your surgical take a chance.

What is the durability of a mitral valve repair?

Later on mitral valve repair, 95% of patients are free of reoperation at 10 years, and this figure is approximately xc% at twenty years. Thus, reoperation is uncommon after a successful mitral valve repair. An echocardiogram is recommended annually to assess valve office. In addition, patients who had valve surgery must have steps to forbid infection and reduce the risk of endocarditis (an infection of the valve).

Why is it important to have my surgery at a center with a large experience in mitral valve repair?

Mitral valve repair is the best option for well-nigh all patients with a leaking (regurgitant) mitral valve and for many with a narrowed (stenotic) mitral valve.Compared to valve replacement, mitral valve repair provides better long-term survival, better preservation of heart role, lower risk of complications, and usually avoids the need for long-term utilise of blood thinners (anticoagulation). For these reasons, Cleveland Clinic surgeons are committed to mitral valve repair.

Advantages of Mitral Valve Repair

• Meliorate early and late survival
• Improved lifestyle
• Better preservation of centre function
• Lower risk of stroke and infection (endocarditis)
• No need for blood thinners (anticoagulation)

Mitral valve repair is more challenging than mitral valve replacement, and experienced surgeons are more likely to be able to repair the valve and ensure an excellent result.

Resource

Doctors who care for

Cleveland Clinic has the nation's largest valve treatment program.

Doctors vary in quality due to differences in training and experience; hospitals differ in the number of services available. The more complex your medical problem, the greater these differences in quality get and the more they matter.

Clearly, the medico and infirmary that you lot choose for circuitous, specialized medical care will have a straight impact on how well y'all do. To help you make this choice, please review our Miller Family Centre, Vascular & Thoracic Institute Outcomes.

Cleveland Clinic Heart, Vascular & Thoracic Plant Cardiologists and Surgeons

• Valve Eye
• Endocarditis Center
• Mitral and Tricuspid Valve Eye

The following Mitral Valve Center surgeons specialize in mitral valve surgery:

• Marc Gillinov, Md* Section Chairman, Thoracic and Cardiovascular Surgery
• Daniel Burns, Medico*
• Kenneth McCurry, Doc

*Performs robotically assisted mitral valve surgery

The Mitral and Tricuspid Valve Heart surgeons offers expertise and experience to provide the best outcomes possible.

Departments and Sections:

Choosing a dr. to treat your heart valve disease depends on where you are in your diagnosis and handling. The post-obit Heart, Vascular & Thoracic Plant Sections and Departments treat patients with Heart Valve Disease:

Department of Thoracic and Cardiovascular Surgery : Surgeons in the Department of Thoracic and Cardiovascular Surgery are experts in the treatment of valve illness, including valve repair or replacement, minimally invasive heart valve surgery, and re-practise operations depending on the individual needs of the patient. For surgical review or more data, telephone call price-free 877.843.2781 (877-8Heart1) 6 a.m. – 9 p.grand. EST, Monday - Friday or request an date online.

Department of Cardiovascular Medicine : Heart valve specialists in the following sections provide evaluation, medical management and life-long care of patients with heart valve disease:

• Section of Cardiovascular Imaging
• Section of Clinical Cardiology

Call Cardiology Appointments at cost-gratuitous 800.223.2273, extension 4-6697 or request an appointment online.

Considering traveling to Cleveland Dispensary for eye surgery?

If yous demand a centre operation, you desire the best surgeon with the best squad at the all-time hospital. But traveling to the nation'southward all-time hospital for heart surgery is more than comfortable and convenient than you might think.

• Learn more about traveling for heart surgery

Need a second opinion?

Virtual Second Opinions connect y'all online with top Cleveland Clinic specialists who can review your diagnosis and offer additional consultation, quickly and securely.

Contact

To obtain a surgical consultation, or if you lot have additional questions or demand more information, click here to contact us, chat online with a nurse or phone call the Miller Family Eye, Vascular & Thoracic Institute Resources & Information Nurse at 216.445.9288 or price-gratuitous at 866.289.6911. We would be happy to help you.

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Our outcomes speak for themselves. Please review our facts and figures and if you have whatsoever questions don't hesitate to ask.

Source: https://my.clevelandclinic.org/health/treatments/17240-mitral-valve-repair

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