Heart Valve Repair and Replacement Surgery
Cardiology & Cardiac SurgeryRétablissement
4 to 8 weeks
Séjour hospitalier
5 to 7 days
Taux de réussite
96%
Heart Valve Repair and Replacement Surgery corrects valvular disease, a condition where one or more of the heart’s four valves do not open or close properly. This places immense strain on the heart, leading to symptoms like severe exhaustion, chest pain, shortness of breath, fluid retention, and potentially heart failure.
Wherever possible, surgeons prioritize valve repair (particularly for the mitral valve) because it preserves the patient's native tissues and maintains optimal heart muscle strength. If a valve is too severely damaged, valve replacement is performed. Patients can choose between a mechanical valve (highly durable, made of carbon/metal, requires lifelong blood thinners) or a biological/tissue valve (made from animal tissue, does not require lifelong medication, but may need replacement after 10–15 years). This surgery effectively eliminates debilitating symptoms, prevents permanent heart failure, and restores a normal lifespan.
Wherever possible, surgeons prioritize valve repair (particularly for the mitral valve) because it preserves the patient's native tissues and maintains optimal heart muscle strength. If a valve is too severely damaged, valve replacement is performed. Patients can choose between a mechanical valve (highly durable, made of carbon/metal, requires lifelong blood thinners) or a biological/tissue valve (made from animal tissue, does not require lifelong medication, but may need replacement after 10–15 years). This surgery effectively eliminates debilitating symptoms, prevents permanent heart failure, and restores a normal lifespan.
Détails de l'intervention
The surgery can be performed via standard open-heart surgery (median sternotomy) or through minimally invasive keyhole incisions (minithoracotomy), depending on the patient's anatomy and the specific valve involved. The surgery typically takes 3 to 5 hours under general anesthesia.
Anesthesia & Incision: The patient is placed under general anesthesia. The surgeon makes an incision down the chest (or a smaller chest incision between the ribs for minimally invasive approaches).
Cardiopulmonary Bypass: The patient is connected to a heart-lung bypass machine, which temporarily breathes and circulates blood for the body so the surgeon can safely operate on a still, bloodless heart.
Accessing the Valve: The surgeon makes an incision into the heart or the aorta to directly expose the damaged valve.
Executing the Repair or Replacement:
If Repairing: The surgeon may reshape the valve leaflets, remove excess tissue, or sew an annuloplasty ring around the base of the valve to tighten a leaking opening.
If Replacing: The surgeon carefully cuts out the diseased native valve and cleans the surrounding ring of tissue. The new mechanical or biological prosthetic valve is meticulously hand-stitched into place.
Weaning and Closure: The heart incision is closed, blood flow is restored to the heart, and the heart restarts its natural rhythm. The patient is gradually disconnected from the heart-lung machine. The breastbone is closed with heavy-duty surgical wire, and the skin is sutured.
Anesthesia & Incision: The patient is placed under general anesthesia. The surgeon makes an incision down the chest (or a smaller chest incision between the ribs for minimally invasive approaches).
Cardiopulmonary Bypass: The patient is connected to a heart-lung bypass machine, which temporarily breathes and circulates blood for the body so the surgeon can safely operate on a still, bloodless heart.
Accessing the Valve: The surgeon makes an incision into the heart or the aorta to directly expose the damaged valve.
Executing the Repair or Replacement:
If Repairing: The surgeon may reshape the valve leaflets, remove excess tissue, or sew an annuloplasty ring around the base of the valve to tighten a leaking opening.
If Replacing: The surgeon carefully cuts out the diseased native valve and cleans the surrounding ring of tissue. The new mechanical or biological prosthetic valve is meticulously hand-stitched into place.
Weaning and Closure: The heart incision is closed, blood flow is restored to the heart, and the heart restarts its natural rhythm. The patient is gradually disconnected from the heart-lung machine. The breastbone is closed with heavy-duty surgical wire, and the skin is sutured.
Comparaison des coûts
| Pays | Coût estimé | Économies par rapport aux États-Unis |
|---|---|---|
| Inde Meilleur rapport qualité-prix | $6,000 - $9,000 | Économisez jusqu'à 94% |
| États-Unis | $140,000 | - |
| Royaume-Uni | $35,000 | - |
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