Mitral stenosis surgery overview
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Mitral stenosis surgery | |
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Treatment | |
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Mitral stenosis surgery overview On the Web | |
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American Roentgen Ray Society Images of Mitral stenosis surgery overview | |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Mohammed A. Sbeih, M.D. [2]
Overview
Mitral valve surgery can be either a repair for the mitral valve or totally replace it in the heart. Beside percutaneous mitral balloon valvotomy (PMBV), surgical treatments for mitral stenosis include closed commissurotomy, open commissurotomy (valve repair) and mitral valve replacement. In open surgery, the surgeon makes a large cut in the sternum to reach the heart. Minimally invasive mitral valve surgery is done through much smaller surgical cuts than the large cuts needed for open surgery.
Indications
Although mitral valvuloplasty is an effective less invasive treatment modality compared to surgery, mitral valve surgery is indicated if the mitral valve is severely calcified, if there is moderate to severe mitral regurgitation coexists with MS, if mitral valvuloplasty is not available or the patient has unfavorable valve morphology, and if there is left atrial thrombus that persists despite anticoagulation.
Pre-operative Evaluation
The patient may need to have some tests before the procedure. The cardiologist usually conducts a physical examination and diagnose the condition within few days, he or she will assess the general health of the patient and will recommend the most appropriate treatment for the patient and if he or she needs surgery.