The formation of the heart is a delicate process in the body; it is both intricate and significantly sensitive. The heart is surrounded by muscle tissues, and in order to pump and maintain the flow of blood forward and consistently straight toward the heart, it uses four valves. Furthermore, these valves are susceptible to damage and diseases, and whenever one of the valves loses its natural functionality, blood flow that carries vital nutrients and oxygen will be affected drastically. In these situations, where the valves cannot work correctly and become defective, the patient may either develop valve stenosis (stiffness) or valve regurgitation (leaky valve).
Valve stenosis (stiffness): Developing such a condition will make one of the valves to become stiff, which result in the heart to pump the blood harder. The condition can happen due to aging and infection.
Valve regurgitation (leaky valve): The primary function of the heart is squeezing and pumping blood forward, and if there is a leakage in one of the valves in the heart, some blood will remain in the valve and will not be emptied thoroughly.
Therefore, based on the advice and recommendation of your doctor, the patient may have to undergo surgery to remove or repair the faulty valve or valves. furthermore, in valve replacement in Medova, our specialized doctors will have a productive discussion with every patient in order to determine which treatments, repairing or replacing the valve, would be perfect for you.
Types of Surgeries
Under no circumstances, the repair and replacement of heart valves is an easy operation. For the last decades, open-heart surgery was the only treatment available to fix damaged valves. In this operation, the doctor makes a large incision on the chest, which results in the heart being halted for some time. While the heart is stopped, during this time, the surgeon will begin the operation to repair or replace the defective valves. Nowadays, some new procedures have evolved that are relatively non-invasive and does not involve any pain or to be hospitalized for an extended period. Below, some of the heart valve surgeries will be explained briefly.
Commissurotomy: This is an open heart surgery that repairs the valves that have been narrowed and tightened by removing scar tissues.
Annuloplasty: Another procedure to repair the heart valve is Annuloplasty. In each valve, there is a ring around it which is called the annulus. Due to some injuries, the annulus may become enlarged, which through Annuloplasty, will be tightened.
What to expect during surgery of heart valve replacement?
Based on each patient’s health level, the procedure may vary; however, in any case for valve replacement surgery, patients need to be hospitalized. Patients will be given IV fluids and medication, also, heart and blood pressure of the patient will be monitored continuously.
In some cases, it is needed that a berating tube would be inserted into the lungs to help with the breathing during the procedure. Furthermore, to prevent any infection, the surgeon will clean the surgical site with an antiseptic solution. Afterward, the surgeon will make a small incision in the chest, and to access the heart, he or she will spread the breastbone apart. It is crucial to know that valve replacement surgery requires an injection of a cold solution into the heart to stop it. Once the heart is stopped, the surgeon will remove the damaged valve and replace it with the artificial valve. After the procedure is finished, the doctor will restart the heart by a shock.
Transcatheter aortic valve replacement (TAVR):If patients’ heart and health conditions are not adequately healthy, TAVR can be regarded as a safe option and minimally invasive procedure to replace a heart valve.
Valve replacement in Medova
Once you appoint a free online consultation with one of our health care professionals, thorough instructions will be given to you according to the type of surgery and the risk that may be involved. Our doctors and cardiologist at Medova center have proved their expertise by performing various successful heart operations for patients with various types of cardiovascular diseases who have traveled to Iran for treatment. Medova center has relied optimistically on the latest medical equipment that will undoubtedly provide patients with the most suitable treatments. After reaching a definite decision about the kind of treatment you would like to take, the Medova team will arrange the rest of your treatment process, including transportation and interpreter that will help you to know precisely each step toward your desired goal.