Treatment

Heart Valve Replacement

Overview

Heart valve replacement surgery is a transformative procedure designed to replace a malfunctioning heart valve with an artificial or biological valve. It ensures proper blood flow through the heart, reduces strain on the heart muscle, and improves overall health. Commonly performed for conditions like aortic valve stenosis, mitral valve regurgitation, or valve prolapse, it can significantly improve the quality of life.

Why Heart Valve Replacement Is Needed?

1. Function of Heart Valves:

• The heart has four valves: aortic, mitral, pulmonary, and tricuspid.
• These valves ensure one-way blood flow through the heart chambers.

2. When Valves Malfunction:

• Symptoms of heart valve failure include fatigue, breathlessness, chest pain, swelling in legs, and irregular heartbeat.
• Conditions like aortic valve stenosis or mitral valve prolapse require valve replacement to prevent complications like heart failure.

3. Why Replacement is Better than Repair in Some Cases:

• Severely damaged valves, due to age, infection, or congenital issues, may need replacement for effective results.

Key Advantages of Heart Valve Replacement

• Restores Normal Blood Flow: Enhances oxygen delivery to the body.
• Reduces Symptoms: Alleviates fatigue, shortness of breath, and dizziness.
• Improves Longevity: Extends life expectancy and heart health.
• Durable Solutions: Mechanical valves can last a lifetime with proper care.
• Minimally Invasive Options: Quicker recovery with techniques like TAVI (Transcatheter Aortic Valve Implantation).

How to Prepare for Heart Valve Replacement?

Medical Evaluation:

• Tests like echocardiograms, MRIs, or CT scans will assess valve condition.
• Blood tests and a review of your overall health.

Medications:

• Stop certain medications like blood thinners as instructed by your doctor.

Healthy Lifestyle Changes:

• Stop smoking and maintain a healthy diet rich in fruits, vegetables, and low-fat proteins.

Mental Readiness:

• Discuss concerns with your doctor and understand the procedure in detail.

Hospital Preparations:

• Pack essentials for your hospital stay.
• Arrange post-surgery care at home.

How Heart Valve Replacement Surgery Is Performed?

1. Open-Heart Surgery:

• Traditional method requires a large incision to access the heart.
• Used for most cases of valve replacement surgery.

2. Minimally Invasive Surgery:

• Small incisions and quicker recovery.
• Includes TAVI/TAVR (Transcatheter Aortic Valve Replacement) for aortic heart valve replacement.

3. Types of Replacement Valves:

• Mechanical Valves: Made from durable materials like titanium. Require lifelong use of blood thinners to prevent clots.
• Biological Valves: Made from animal or human tissue. Suitable for patients who cannot tolerate blood thinners.

What to Expect Before, During, and After Surgery

1. Before Surgery:

• You will undergo preoperative tests and receive anesthesia before the procedure.
• A heart-lung machine will be used to maintain circulation during surgery.

2. During Surgery:

• The surgeon will replace the damaged valve with a mechanical prosthetic heart valve or a biological valve.
• Minimally invasive options like TAVI involve threading a catheter through the groin.

3. After Surgery:

• Initial recovery occurs in the ICU for close monitoring.
• Pain management and gradual mobilization will follow.
• Total recovery for heart valve replacement may take 6-8 weeks.

Risks and Potential Complications

• Infections: Rare but treatable with antibiotics.
• Blood Clots: Risk is higher with mechanical valves, requiring blood thinners.
• Valve Degeneration: Biological valves may need replacement after 10-15 years.
• Arrhythmias: Irregular heartbeats that may need treatment.

Results/Outcomes

• Patients often experience dramatic improvement in symptoms like fatigue and breathlessness.
• The success rate of heart valve replacement surgery exceeds 95%, making it highly reliable.
• Proper care can ensure long-lasting results, with mechanical valves lasting a lifetime and biological valves lasting 10-20 years.