Valve Repair/Replacement

Overview

Heart valve surgery corrects problems in one or more of the heart’s valves. This may involve repairing the valve to restore its function or replacing it with a biological or mechanical prosthesis. The choice depends on the type and severity of the valve disease.

Types of Valve Disease

  • Aortic stenosis or regurgitation

  • Mitral valve prolapse or stenosis

  • Tricuspid valve regurgitation

  • Congenital valve abnormalities

Symptoms

  • Shortness of breath

  • Fatigue, dizziness, or fainting

  • Swelling in the legs

  • Chest discomfort

  • Heart murmur or irregular heartbeat

Diagnostic Workup

  • Echocardiography (TTE/TEE)

  • Cardiac MRI or CT

  • Cardiac catheterization

Surgical Options

  • Valve Repair: Preferred when possible, especially for mitral valves

  • Valve Replacement:

    • Mechanical valves: Long-lasting but need lifelong anticoagulation

    • Bioprosthetic valves: Limited lifespan but no long-term blood thinners

  • Minimally Invasive or Robotic Valve Surgery in suitable patients

  • TAVR (Transcatheter Aortic Valve Replacement) for high-risk patients

Recovery

  • ICU stay post-op with monitoring

  • Physical therapy and rehab

  • Lifelong cardiac follow-up and medication

Conclusion

Valve repair or replacement restores heart function, improves symptoms, and extends life expectancy. With advanced techniques, even high-risk patients can undergo successful valve surgery.

About Dr. Pranav Mali

Dr. Pranav Mali’s academic pursuits led him to Government Medical College, Nagpur, where he earned his M.B.B.S. Subsequently, he pursued further specialization, attaining M.S. in General Surgery and M.Ch. in Cardiothoracic and Vascular Surgery from the esteemed KEM Hospital and Seth GS Medical College in Mumbai, renowned as one of India’s premier institutions.