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Wednesday, September 9th, 2009

Afraid of Open Heart Surgery? New Minimally Invasive Heart Surgery Procedure for People with Severe Mitral Valve Regurgitation

One in five people over the age of 55 in the United States develop a problem with the mitral valve in their heart. In the past the answer to problems like mitral valve regurgitation, which is a condition in which the mitral valve does not close properly and blood is leaked backwards into the heart, was open heart surgery. Now interventional cardiologists have created an alternate procedure by developing a mitral valve clip and a minimally invasive method by which it is quite easily inserted.

Many patients who suffer from mitral valve regurgitation do not realize at first that they are having problems with their heart. One of the biggest symptoms they display is a shortness of breath, which together with fatigue; they may interpret as something else entirely.  In severe cases it can seriously limit the quality of a patient’s life, making more than a few minutes activity extremely difficult.

The new procedure to insert a mitral valve clip is far less invasive than open heart surgery although it takes about the same amount of time – two to three hours on average. This is good both for patients with weaker hearts and those awed by the prospect of large surgical interventions.

During the placement procedure a cardiologist inserts a catheter into a patient’s groin that travels up to the mitral valve. The clip is then carefully fed up through the catheter where it grasps the valves leaflets, effectively putting a stop to the leakage without impeding the normal function of the heart.The catheter is then removed but the clip stays in place.

Apart from the fact that this new procedure is far less invasive than traditional open heart surgery, the recovery time for patients undergoing it is far shorter than for those who have had open heart surgery, averaging just a few weeks rather than months.

According to Dr George Hanzel, who is an interventional cardiologist at the William Beaumont Hospital in Royal Oak Michigan, one of 38 centers nationwide where the clip has been used so far, the results he has seen or heard about have been positive “Patients typically say they feel better. They can breathe better. They can do more without having to stop and rest.” For many patients their mitral valve regurgitation is reduced from a severe condition to a trivial issue, allowing them to lead a fuller life overall.

8 Responses to “Afraid of Open Heart Surgery? New Minimally Invasive Heart Surgery Procedure for People with Severe Mitral Valve Regurgitation”

ruth foster Says:

Is one of the 38 centers located near Florida?

John Says:

I have mitral valve degeneration and was born with only two valves instead of three….will this surgery work for me and would it be covered under health reform because right now I have been uninsured since a heart attack in ‘96….

R. Peabody Says:

i’ve had Mitral Valve Prolapse for 35 years ‘diagnosed” and it’s been very difficult to manage to have anywhere near a normal life. Have seen many cardiologists and a combination of Lopressor and procanimide was able to control it almost completely for 8 years, and then a new HMO decided I didn’t need the procanimide and I was back having attacks again and have been for 15 years rendering me disabled to work. Recently I was moved to another HMO and they have a whole new approach, the call it a “premise”, whereas they decide to say I don’t have MVP, but ad Fibs, and thus they don’t have to do anything about it whatsoever! They have tons of ways around treating a person for their health problems.
Stanford Cardiology Hospital in Menlo Park, California is just an excellent place to have your Mitral Valve taken care of and they are up on all the latest ways to handle it, so I recommend them highly. Please go there ONLINE and check out thier procedures for MVP. See if you can get a referral there or call and make an appointment and go there and see them. Also the Mayo, and the Cleveland Clinic. All of these are wonderful places to go. I wish you well, and hope you can get coverage, but just to have a normal life, it’s worth the money if you can find anyway at all to get the money to have it done. God Bless you!

Jim Says:

Five years ago I had a complete mitral valve replacement done at Cleveland Clinic. It was a mimimally invasive open-heart procedure. My condition did not qualify for this described proceedure.

What I’ve learned from this description and my experience is that medical science has come a long way in ability.

If anyone is avoiding such surgery, as I did for at least five years, go for it! If you go to an experienced facility you will be just fine. My delay cost me years of godd quality of life…something I now again have.

Daddio Says:

Is this procedure available for the aortic valve as well ?

Jim Says:

Daddio – I’m sorry it took me a bit of time to do the research.

Yes there also is a minimally invasive technique for replacing the aortic valve. It is also done at the Cleveland Clinic.

You can check on the Clinic’s web site for information about the procedure as well as excellent general information about aortic valve problems.

There may be other medical centers that use the same technique. I just know that CC has done more of this type of heart operation than any place else.

Dave Rooker Says:

is this mitral valve clip proceedure available in Iowa or nebraska ???

Norm Says:

My aortic valve was replaced 4/08 by minimally-invasive surgery at St. John’s Mercy Hospital in St. Louis, MO.

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