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Once the repair or replacement is complete, catheters are placed around the heart to allow fluids to drain. Then the breastbone is closed, usually using stainless steel wires. Healing of the breastbone takes up to six weeks, and the wires will remain inside the body.
Because of such an invasive opening of the body, healing time is lengthy, and the risk of infection or complications is increased in the type of surgery described above. Furthermore, patients may be required to take blood thinners for the rest of their lives. They may also have to make considerable changes to their lifestyles.
Fortunately some patients can be treated with a minimally invasive mitral valve repair procedure. A small incision-generally two inches or so-under the right breast can offer the surgeon a direct view of the mitral valve through the use of an endoscopic tool. The patient may or may not need to be placed on a heart-lung machine, but general anesthesia is still usually required.
Once the surgeon has access to the heart, he or she can reshape the mitral valve, often using the patient's own tissue. In some cases, there is excess tissue which can be removed to achieve the same effect. In either case, the valve ring is given greater support so that it will perform normally, allowing blood to flow in and out of the left side of the heart at a regular pace with no leakage.
Such a minimally invasive treatment often results in shorter recovery times for the patient, with little or no post-surgical medication required. Many patients can return to work and other normal activities quite soon after surgery.
Finally, a mitral valve repair usually lasts longer than a replacement valve would last, and it offers less risk of serious bleeding. The repaired left ventricle will also often function better than a replaced ventricle, particularly when the patient's own tissue is used in the repair process.
Of course, each patient is different. Consultation with a qualified cardiac surgeon is required, and the patient may have to undergo various tests to determine the level of damage or loss of function to the mitral valve. After all information has been gathered, the specific type of repair will be determined. With so many advances in heart surgery, however, either procedure is likely to result in a patient who feels better than he or she has in many years.
The information provided in this article is for informational purposes only. It is not a substitute for medical advice. All medical information presented should be discussed with your healthcare professional. Remember, the failure to seek timely medical advice can have serious ramifications. We urge you to discuss any current health related problems you are experiencing with a healthcare professional immediately.