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There are two surgical options for the treatment of MR: mitral valve replacement and mitral valve repair. [6] Mitral valve repair is preferred to mitral valve replacement where a repair is feasible as bioprosthetic replacement valves have a limited lifespan of 10 to 15 years, whereas synthetic replacement valves require ongoing use of blood ...
Mitral valve replacement is a procedure whereby the diseased mitral valve of a patient's heart is replaced by either a mechanical or tissue (bioprosthetic) valve. The mitral valve may need to be replaced because: [citation needed] The valve is leaky (mitral valve regurgitation) The valve is narrowed and doesn't open properly (mitral valve stenosis)
The treatment options for mitral stenosis include mitral valve replacement by surgery, and percutaneous mitral valvuloplasty by balloon catheter. [15] The indication for invasive treatment with either a mitral valve replacement or valvuloplasty is NYHA functional class III or IV symptoms. [citation needed] Another option is balloon dilatation. [16]
Mitral valve repair is generally considered preferable to replacement. Current ACC / AHA guidelines promote repair of mitral valve in people before symptoms of heart failure develop. Symptomatic people, those with evidence of diminished left ventricular function, or those with left ventricular dilatation need urgent attention.
Mitral stenosis with NYHA functional class II-IV symptoms; Mitral regurgitation with NYHA functional class III-IV symptoms; Aortic and/or mitral valve disease resulting in severe pulmonary hypertension (pulmonary pressure greater than 75% of systemic pressures) Aortic and/or mitral valve disease with severe LV dysfunction (EF less than 0.40 ...
If the mitral valve doesn’t open enough, it gets harder to fill the left ventricle, called mitral valve stenosis. Let’s start with mitral valve regurgitation - the leading cause of mitral valve regurgitation in the United States and the most common of all valvular conditions is mitral valve prolapse.
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