Heart valve repair
 | This article needs additional citations for verification. (September 2014) |
| Heart valve repair | |
|---|---|
| Specialty | {{#Statements:p1995}} |
| ICD-9-CM | 35.0-35.2 |
Heart valve repair is a cardiac surgery procedure, carried out to repair one or more faulty heart valves. In some valvular heart diseases repair where possible is preferable to valve replacement. A mechanical heart valve is a replacement valve that is not itself subject to repair.
General
[edit | edit source]Valvuloplasty is the widening of a stenotic valve using a balloon catheter. Types include:[citation needed]
- Aortic valvuloplasty in repair of a stenotic aortic valve
- Mitral valvuloplasty in the correction of an uncomplicated mitral
Valvulotomy
[edit | edit source]Commissurotomy of heart valves is called a valvulotomy.
By valve
[edit | edit source]Mitral valve repair
[edit | edit source]Mitral valve repair is mainly used to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve.[citation needed] A mitral balloon valvuloplasty enlarges the valve opening to allow greater oxygenated blood flow into the left ventricle, and since severe mitral regurgitation can be a major complication, degrees of stenosis, regurgitation, and valve anatomical features are taken into consideration before the procedure.[1]
Aortic valve repair
[edit | edit source]Aortic valve repair is a surgical procedure used to correct some aortic valve disorders as an alternative to aortic valve replacement.[2] Aortic valve repair is performed less often and is more technically difficult than mitral valve repair. There are two surgical techniques of aortic-valve repair:
- The Reimplantation-Technique (David-Procedure)
- The Remodeling-Technique (Yacoub-Procedure)
Tricuspid valve repair
[edit | edit source]Tricuspid valve repair is used to correct tricuspid regurgitation.[3] Tricuspid regurgitation can be repaired via a minimally invasive procedure where a catheter mounted clip is used to cinch tricuspid valve leaflets together in a process known as the Transcatheter Edge to Edge Repair (TEER).[4]
History
[edit | edit source]The first two percutaneous ultrasound-guided fetal balloon valvuloplasties, a type of in utero surgery for severe aortic valve obstruction, were reported in 1991.[5]
See also
[edit | edit source]References
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