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Valves need to work efficiently to help blood flow in the right direction through your heart. When one or more of the four heart valves are malfunctioning, this condition is known as heart valve disease. Heart Valve Surgery is the repair or replacement of a valve that is too small or doesn't close properly.
There are two types of Heart Valve Surgery:
A valve repair procedure fixes a malfunctioning or damaged valve while largely preserving the patient's tissue. The aortic and tricuspid valves can also be repaired surgically, although the mitral valve is the one that is fixed, most frequently.
Surgery to replace the malfunctioning valve with a mechanical (metal or carbon) or biological (pig, cow, or human tissue) valve is known as Valve Replacement. Since every valve replacement is biocompatible, your body won't reject the new valve.
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The heart is composed of four valves:
The mitral valve transports the oxygen-rich blood coming back from your lungs into your left atrium (upper chamber) and then to your left ventricle (lower chamber).
Tricuspid valves transport oxygen-poor blood flow from your right atrium (upper chamber) to your right ventricle (lower chamber).
Pulmonary valves transport oxygen-poor blood from your right ventricle (lower chamber) to your pulmonary artery, which takes blood to your lungs to get oxygen.
The aortic valve lets oxygen-rich blood move from your left ventricle (lower chamber) to your aorta, which sends blood to your entire body.
Your valve may have acquired a leak, stiffness, or constriction, or it may have been defective from birth. Treatment for heart valve disease is probably necessary if you experience any of the following symptoms:
Chest pain
Difficulty breathing
Fainting
The day before your procedure, you can have an electrocardiogram (EKG), echocardiography, and chest X-ray. A cardiac catheter, a CT scan, and laboratory testing could be additional diagnostics recommended.
On the day before your procedure, avoid eating or drinking anything after midnight. Consult your healthcare provider to learn which medications you can take before surgery.
Bring easy-to-fit shoes and loose, comfortable clothing.
During surgery, the person who accompanied you to the hospital can keep your personal belongings.
An IV will be inserted into your arm or hand to deliver medication, allowing you to sleep comfortably and soundly.
For your procedure, your healthcare professional will make the tiniest possible incision.
During surgery, your surgeon might use a machine to replace your heart and lungs.
Your surgeon will either replace or repair your heart valve, depending on the procedure you're undergoing.
Options for heart valve surgery include:
An 8–10-inch incision is made through your breastbone during Open Heart Surgery, also known as Traditional Heart Surgery.
Minimally Invasive Surgery for the Heart Valve: a smaller cut, three to four inches or less, is made. Techniques include Robotic-Assisted Surgery and Endoscopic or Keyhole procedures (also known as Port Access, Thoracoscopic, or Video-Assisted Surgery).
Transcatheter: A catheter will be inserted by your healthcare professional into a larger artery, like the femoral artery in your groyne. This procedure alleviates the need for an incision in your chest.
Following surgery, you will be monitored in an intensive care unit (ICU) so that you can be continuously monitored by medical professionals. You will be in a standard room after that, and it may take five to seven days to get released from the hospital.
Your heart rate and blood pressure will be tracked continuously by machines that are attached to you, and tubes may be emerging from your chest to remove fluid.
After surgery, your doctor will advise you to start eating, drinking, and walking as soon as you are stable.
You can start with short walks around your room or down the hall and increase your distance little by little.
Surgery to replace or repair your heart valve can help you live longer, feel better, and avoid death. In addition, the potential advantages of Heart Valve Repair and Valve Replacement are:
Lower risk of infection
Reduced requirement for long-term anticoagulant (blood-thinning) drug therapy
Every surgery involves risks, Heart Valve Surgery is no exception. The risks it offers are:
Heart attack
Heart failure
For abnormal heart rhythm, you may need a pacemaker
Stroke
Infection
Bleeding
The risks of Heart Valve Repair or Replacement depend on your age and other medical conditions you have.
Heart Valve Surgery recovery takes four to eight weeks on average. But your recovery may be shorter if you had minimally invasive surgery or surgery through a vein.
How you feel following surgery is determined by:
Which valve was repaired or replaced?
Your overall health before the surgery.
Which method does your provider use to get to your heart (large incision, small incision, or through a vein)?
How did the surgery go?
How well do you take care of yourself after surgery?
For the first three weeks following surgery, you should anticipate feeling exhausted easily. After surgery, avoid handling heavy weights for the first six to eight weeks.
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