Get answers to your Mitral Valve Surgery questions.
Mitral valve obstruction
Treatment depends on the symptoms and condition of the heart and lungs. People with mild symptoms or none at all may not need treatment. Hospitalization may be required for diagnosis and treatment of severe symptoms.
Medications are used to treat symptoms of heart failure or abnormal heart rhythms (most commonly atrial fibrillation) and high blood pressure, as well as to prevent blood clots.
Antibiotics may be used for some people with mitral stenosis:
Some patients may need heart surgery to repair or replace the mitral valve. Replacement valves can be made from different materials. Some may last for decades and others can wear out and require replacement.
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Percutaneous mitral balloon valvotomy (also called valvuloplasty) may be tried instead of surgery in patients with a less damaged mitral valve. During this procedure, a catheter (tube) is inserted into a vein, usually in the leg, and threaded up into the heart. A balloon on the tip of the catheter is inflated, widening the mitral valve and improving blood flow.
Children often require surgery to either repair or replace the mitral valve.
The outcome varies. The disorder may be mild, without symptoms, or may be more severe and eventually disabling. Complications may be severe or life threatening. Mitral stenosis is usually controllable with treatment and improved with valvuloplasty or surgery.
Call your health care provider if:
Otto CM, Bonow RO. Valvular heart disease. In: Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. St. Louis, Mo: WB Saunders; 2007:chap 62.
Curtin RJ, Griffin BP. Mitral valve disease. In: Cleveland Clinic: Current Clinical Medicine 2009, 1st ed. Philadelphia, Pa: Saunders Elsevier;2008:chap 21.
Nishimura RA, Carabello BA, Faxon DP, et al. ACC/AHA 2008 Guideline update on valvular heart disease: focused update on infective endocarditis: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008;52(8):676-685.
Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr., Faxon DP, Freed MD, et al; 2006 Writing Committee Members; American College of Cardiology/American Heart Association Task Force. 2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Asssociation Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients with Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2008;118:e523-e661.
Valvular heart disease. In: Park MK, ed. Pediatric Cardiology for Practitioners. 5th ed. St. Louis, Mo: Mosby Elsevier; 2008:chap 21.
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