If valve destruction is slight, doctors may be capable to treat it with medications. If damage to the valve is severe, surgery to healing or substitute the valve may be required.
Valve repair can regularly be done on inherited valve defects (deficiencies you are born with) and has a good achievement record with handling mitral valve defects.
Two kinds of valves can be used for replacement:
Mechanical valves are typically made from constituents such as plastic, carbon, or else metallic. Mechanical valves are robust, and they last an elongated time. Since blood inclines to switch to mechanical valves besides make blood clots, patients with these valves will want to take blood-thinning treatments (named anticoagulants) aimed at the rest of their lives.
Biological valves are prepared from animal flesh (termed a xenograft) otherwise in use from the human tissue of a given heart. Occasionally, a patient's own tissue can be used in place of valve replacement (titled an autograft). Patients with genetic valves commonly do not essential to take blood-thinning prescriptions. These valves are not as durable as mechanical valves, though, and they may want to be substituted each 10 years or so. Biological valves break down even sooner in children in addition to young adults, so these valves are used most repeatedly in mature patients.
You and your doctor will resolve which kind of valve is finest for you.
Throughout valve healing or replacement surgery, the breastbone is separated, the heart is stopped, and blood is sent over and done with a heart-lung machine. Since the heart or the aorta need to be unlocked, heart valve surgery is open heart surgery.
Here are various processes surgeons may use to repair a valve:
Commissurotomy is used for pointed valves, where the leaflets are congealed and maybe stuck together. The surgeon unlocks the valve by wounding the points where the leaflets meet.
Valvuloplasty strengthens the leaflets to arrange for more backing and to let the valve close firmly. This support originates from a ring-like device that surgeons assign around the external of the valve opening.
Redesigning is done when the surgeon cuts out a segment of a leaflet. When the leaflet is sewn back together, the valve can close correctly.
Decalcification eliminates calcium accumulation from the leaflets. When the calcium is detached, the leaflets can close appropriately.
Overhaul of structural support substitutes or cuts the cords that offer the valves support (these cords are titled the chordae tendineae also the papillary muscles). Once the cords are the right length, the valve can close by properly.
Repairing shelters fleabags or tears in the leaflets with a tissue spot.
You can supposed to stop in the hospital for about a week, containing minimum 3 days in the Intensive Care Unit.
Recovery afterward valve surgery may take a lengthy time, liable on how healthy you were earlier the operation. You will have to relax and limit your actions. Your doctor may need you to initiate a workout program or to join a cardiac therapy program.