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 Valvuloplasty is the widening of a stenotic valve using a balloon catheter. Types include: Aortic valvuloplasty in repair of a stenotic aortic valve Mitral valvuloplasty in the correction of an uncomplicated mitral
Valvulotomy
Commissurotomy of heart valves is called a valvulotomy.
By valve
Mitral valve repair
Mitral valve repair is mainly used to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve. 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.
Aortic valve repair Aortic valve repair is a surgical procedure used to correct some aortic valve disorders as an alternative to aortic valve replacement.Hans-Joachim Schäfers: Current treatment of aortic regurgitation. UNI-MED Science, Bremen, London, Boston 2013, . 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 Tricuspid valve repair is used to correct tricuspid regurgitation.Page 4 in: 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).
History The first two percutaneous ultrasound-guided fetal balloon valvuloplasties, a type of in utero surgery for severe aortic valve obstruction, were reported in 1991.
See also Cardiac surgery Bentall procedure Open aortic surgery
References