Aortic regurgitation surgery

Aortic Regurgitation Microchapters
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Acute Aortic regurgitation Medical Therapy Surgery
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Case #1
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For the WikiPatient page for this topic, click here; For the main page of aortic insufficiency, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Varun Kumar, M.B.B.S., Lakshmi Gopalakrishnan, M.B.B.S., Mohammed A. Sbeih, M.D.[3]

Related Key Words and Synonyms: Aortic valve replacement.

Outcomes & Prognosis

Outcomes and Prognosis

Most valve surgery operations are successful. In some rare cases, a valve repair may fail and another operation may be needed. The risk of death or serious complications from isolated aortic valve replacement is typically quoted as being between 1-3% of cases, depending on the health and age of the patient, as well as the skill of the surgeon and the health care institute. The patient's past history of heart surgery affects the mortality rate as well. Patient with mechanical valve may hear a quiet clicking sound in his chest. This is just the sound of the new valve opening and closing, and a sign that the new valve is working.

Mechanical Versus Biological Valves

Mechanical heart valves do not fail often. They last from 12 to 20 years. However, blood clots develop on them. If a blood clot forms, the patient may have a stroke. Bleeding can occur, but this is rare. Biological valves tend to fail over time , but they have a lower risk of blood clots. Patients with a biological valve may need to have the valve replaced in 10 to 15 years. Patients with a mechanical valve will need to take a blood-thinning medicine for the rest of their lives.

Complications

Complications

Risks of any surgery

• Blood clots in the legs that may travel to the lungs.
• Blood loss.
• Breathing problems.
• Infection, including in the lungs, kidneys, bladder, chest, or heart valves.
• Reactions to medicines.
• Nausea and vomiting.
• Abnormal or painful scar formation.
• Allergic skin reaction

Possible risks from having open-heart surgery

• Heart attack or stroke.
• Heart rhythm problems; such as atrial fibrillation.
• Infection in the cut, which is more likely to happen in people who are obese, have diabetes, or have already had this surgery.
• Memory loss and loss of mental clarity, or "fuzzy thinking."
• Post-pericardiotomy syndrome, which is a low-grade fever and chest pain. This could last for up to 6 months.

Prosthetic heart valves are associated with a variety of complications

• Structural deterioration, particularly with bioprosthetic valves.
• Valve obstruction due to thrombosis or pannus formation.
• Systemic embolization.
• Bleeding.
• Endocarditis and other infections.
• Left ventricular systolic dysfunction, which may be preexisting (Heart failure).
• Hemolytic anemia.

Videos

Severe aortic insufficiency in patient after aortic valve replacement 1

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Severe aortic insufficiency in patient after aortic valve replacement 2

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Severe aortic insufficiency in patient after aortic valve replacement 3

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Severe aortic insufficiency in patient after aortic valve replacement 4

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Severe aortic insufficiency in patient after aortic valve replacement 5

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Severe aortic insufficiency in patient after aortic valve replacement 6

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Severe aortic insufficiency in patient after aortic valve replacement 7

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Severe aortic insufficiency in patient after aortic valve replacement 8

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