HEART VALVE SURGERY

NORMAL ANATOMY

There are four valves in the heart: aortic valve, bicuspid valve, tricuspid valve, and pulmonary valve. The valves are to be designed to control the direction of blood flow through the heart. The opening and closing of the heart valves cause to produce the heart-beat sounds.

INDICATION

Heart valve replacement may be recommended for narrowing of the heart valve (steno sis) leaking of the heart valve. Valve problems may be caused by infections (rheumatic fever) or birth defects and may cause heart failure (congestive heart failure) and infections. The surgery is done while the patient is deep-asleep and pain-free (general anesthesia). An incision is made through the breast bone (sternum).

PROCEDURE

Heart valve surgery is known by open-heart surgery. Tubes are used to re-route the blood away from the heart to a heart-lung bypass machine to keep the blood oxygenated and circulating while the heart is being operated on.

Valves may be repaired or replaced. Replacement heart valves are either natural (biologic) or artificial (mechanical). Natural valves are from human donors ,modified natural valves are from animal donors which are placed in synthetic rings, and artificial valves are made of metal or plastic. Natural valves rarely require life-long medication to prevent blood clot formation (anti coagulation), whereas artificial valves will require anti coagulation. The ineffective bicuspid valve is removed and the heart valve replacement is sutured into place.

AFTERCARE

The rate of success of heart valve surgery is high and increasing. The operation provides symptom relief and prolongs life. The death rate varies depending on the heart valve and averages 2% to 5%..The first 2 or 3 days following the operation are spent in an intensive care unit where heart functions can be monitored constantly. The average hospital stay is 1 - 2 weeks. A few weeks to several months should be allowed for complete recovery, depending on health before surgery.