Conditions

Surgery for Mitral Valve Repair

The best available surgical treatment for mitral valve prolapse is repair of the valve. Mitral valve repair offers a number of significant, life-long benefits as compared to valve replacement. These include a lower risk of death, a better chance of long-term survival and more freedom from future valve operations:

Mitral Valve Surgery: Repair vs. Replacement

Approach for Heart Valve Repair - Alternative to Heart Valve Replacement

The most common way to repair a valve during surgery is with sternotomy - cutting through the breastbone and opening the ribs. Cutting through the body's natural protective structure for the heart can cause significant trauma, prolong healing time and increase your risk for serious complications and even death. Moreover, this open approach doesn't always provide surgeons with the visualization and access necessary to complete a repair. In fact, the majority of patients who undergo sternotomy receive an artificial valve⁸

1. Thourani VH, Weintraub WS, Guyton RA, et al. Outcomes and Long-Term Survival for Patients Undergoing Mitral Valve Repair Versus Replacement. Circulation. 2003;108:298-304 ( Emory University Atlanta )
2. Enriquez-Sarano M, Schaff HV, Orszulak TA, Tajik AJ, Bailey KR, Frye RL: Valve repair improves the outcome of surgery for mitral regurgitation: a long-term study. Circulation. 1995; 91:1022-8
3. Enriquez-Sarano M, Schaff H, Frye R. Mitral Regurgitation: What Causes the Leakage Is Fundamental to the Outcome of Valve Repair. Circulation 2003;108:253-256.(Mayo Clinic Rochester )
4. Gillinov AM, Wierup PN, Blackstone EH, et al. Is Repair Preferable to Replacement for Ischemic Mitral Regurgitation? J Thorac Cardiovasc Surg 2001 Dec; 122(6):1125-41 ( Cleveland Clinic)
5. Grossi E, Goldberg J, LaPietra A, et al. Ischemic mitral valve reconstruction and replacement: Comparison of long term survival and complications . J Thorac Cardiovasc Surg 2001 Dec; 122(6):1107-24 (NYU)
6. Rodgers, E. Heart valve repair or replacement for mitral valve regurgitation or prolapse. WebMD. March 10, 2005 Bach DS. Choice of prosthetic heart valves:update for the next generation. J Am Coll Cardiol. 2003 Nov 19;42(10):1717-9.
7. Ruel M, Kulik A, Rubens FD, Bedard P, Masters RG, Pipe AL, Mesana TG. Late incidence and determinants of reoperation in patients with prosthetic heart valves. Eur J Cardiothorac Surg. 2004 Mar;25(3):364-70.
8. Society for Thoracic Surgeons & Duke Clinical Research Institute. Executive Summary. STS Fall 2005 Report.

While clinical studies support the effectiveness of the da Vinci Surgical System when used in minimally invasive surgery, individual results may vary. There are no guarantees of outcome. All surgeries involve the risk of major complications. Before you decide on surgery, discuss treatment options with your doctor. Understanding the risks of each treatment can help you make the best decision for your individual situation. Surgery with the da Vinci Surgical System may not be appropriate for every individual; it may not be applicable to your condition. Always ask your doctor about all treatment options, as well as their risks and benefits. Only your doctor can determine whether da Vinci Surgery is appropriate for your situation. The clinical information and opinions, including any inaccuracies expressed in this material by patients or doctor about da Vinci Surgery are not necessarily those of Intuitive Surgical, Inc. and should not be considered as substitute for medical advice provided by your doctor. All people depicted unless otherwise noted are models. © 2011 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, Single-Site, InSite, TilePro and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders.

*Compared to open surgery

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