Minimal Invasive Mitral Valve Cardiac Surgery

Mitral valve one of the most commonly involved valves due to rheumatic heart disease in this part of the world is the mitral valve. it’s a very important valve situated in left side of the heart. any damage causing regurgitation or tightening of this valve called stenosis can lead to heart failure.

Mitral Stenosis

Mitral valve stenosis is a narrowing of the valve . The narrowed valve reduces or blocks blood flow into the lower left heart chamber. The lower left heart chamber is the heart's main pumping chamber. It also is called the left ventricle.

Mitral Regurgitation

Any kind of damage to the mitral valve most commonly due to rheumatic heart disease or by  ischemia due to heart attack causes leakage of the valve called regurgitation which leads to heart failure .

Etiology

Rheumatic

Infective endocarditis

Endomyocardial Fibrosis

Marfan’s syndrome Secondary to LV dilatation

Myocardial infarction Post procedural or post operative

What is the difference between a mitral valve repair and a mitral valve replacement?

In a mitral valve repair, your surgeon fixes a problem in your mitral valve but doesn’t remove the mitral valve. In a mitral valve replacement, your surgeon replaces your own valve with a mechanical valve or tissue valve .

What are the types of minimally invasive mitral valve repair procedures

The surgeon may use several techniques to repair your mitral valve with minimally invasive surgery. They may perform an annuloplasty — tightening a leaky mitral valve by placing  ring around it. Chorde repair / create a  Neochorde.

Who is a candidate for minimally invasive mitral valve surgery?

Almost all patients with isolated mitral valve disease can be a good candidate for minimal invasive procedure.

Although depends on several factors, including:

• Your heart’s condition.

• Whether you need other procedures at the time of mitral valve surgery.

• Medical history: You may not be a surgery candidate for mics  if you have severe coronary artery disease or aortic valve disease along with mitral valve disease.

Procedure Details

What happens before minimally invasive mitral valve surgery?

Your surgeon gives you instructions to prepare for a minimally invasive mitral valve surgery. You may have tests such as an echocardiogram to evaluate blood flow through your heart and get a closer look at your heart valves. You may also need a cardiac catheterization to examine the arteries on your heart and a CT (CAT) scan.

What happens during minimally invasive mitral valve surgery?

During a minimally invasive mitral valve surgery, the cardiac (heart) surgeon:

1. Makes a 2-inch incision along your ribs on one side.
2. Inserts a tool with a camera on the end (endoscope) through the incisions to view your mitral valve.
3. Uses small surgical tools to repair or replace  the mitral valve.
4. Closes the incisions with stitches.

What are the advantages of minimally invasive mitral valve repair?

Minimally invasive mitral valve surgeries can successfully treat mitral valve problems while also offering benefits of:

• Faster healing and recovery time.

• Less pain and reduced use of pain killer medications.

• Lower risk of infection or blood loss.

• Reduced scarring.

• Shorter hospital stays.

• Back to normal routine in just 7-10 days .

Conclusion

Severe Mitral regurgitation and Severe Mitral stenosis, requires careful evaluation and timely intervention. Understanding the underlying anatomy, accurately choosing the appropriate surgical approach are all crucial elements in ensuring the best outcomes for our patients.

As surgical techniques continue to evolve, we’re seeing a shift towards more valve-sparing procedures and minimally invasive approaches. At The Livasa Hospital Mohali, we’re committed to offering our patients the most advanced and least invasive options available. Whether it’s a complex valve repair or a keyhole Mitral valve replacement, our goal is always to provide the best possible care with the quickest recovery time.