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OVERVIEW

Mitral and tricuspid heart valve repair encompasses surgical and transcatheter interventions aimed at correcting structural defects in the heart's atrioventricular valves. The primary goal is to re-establish unidirectional blood flow between the heart chambers, relieving symptoms of heart failure and preventing progressive ventricular remodelling. According to the 2020 ACC/AHA Guidelines for the Management of Patients With Valvular Heart Disease, valve repair is clinically preferred over valve replacement whenever anatomically feasible due to superior long-term survival and lower risks of thromboembolism and infection.

PROCEDURE

Surgical heart valve repair is performed under general anesthesia with median sternotomy or minimally invasive right mini-thoracotomy. Cardiopulmonary bypass is established to maintain systemic perfusion while the heart is stopped. The surgeon inspects the valve anatomy and performs targeted reconstruction, such as leaflet resection, chordal replacement with synthetic ePTFE sutures, or leaflet augmentation. An annuloplasty ring is sewn around the valve circumference to restore functional orifice shape and dimensions. In transcatheter edge-to-edge repair (TEER), a catheter is inserted through the femoral vein and guided into the heart under echocardiographic control. A mechanical clip is deployed to grasp the valve leaflets, creating a double-orifice valve that prevents regurgitation.

BENEFITS

Preserving the native valve through repair offers distinct clinical advantages over artificial valve replacement. Published registry data from the Society of Thoracic Surgeons (STS) demonstrate that successful mitral repair delivers superior long-term survival, improved preservation of left ventricular ejection fraction, lower risk of systemic stroke, and a lower lifetime incidence of endocarditis compared to valve replacement. Additionally, repair typically eliminates the need for lifelong oral anticoagulation medication.

RECOVERY

Early recovery occurs in the hospital over three to seven days depending on whether open surgical or transcatheter techniques are used. Initial mobilization begins within 24 to 48 hours. Sternal healing following open surgery requires approximately six to eight weeks, during which physical lifting is restricted. Transcatheter repair involves a shorter recovery of one to two weeks. Participation in formal cardiac rehabilitation significantly improves functional capacity and long-term cardiovascular health.

WHAT WE TREAT

Mitral valve repair treats primary (degenerative) mitral regurgitation, secondary (functional) mitral regurgitation, mitral valve prolapse, and leaflet flail. Tricuspid valve repair addresses primary tricuspid regurgitation, secondary tricuspid regurgitation due to pulmonary hypertension or left-sided heart disease, and tricuspid valve endocarditis.

PREPARATION

Pre-procedural preparation involves transthoracic and transesophageal echocardiography, coronary angiography, and baseline laboratory testing including complete blood count, renal function, and coagulation panels. Dental clearance is required to rule out hidden sources of bacteremia. Patients must stop specific blood-thinning medications several days prior to surgery according to surgical guidelines. Pre-operative assessment by an interdisciplinary heart team determines surgical risk scores and technical feasibility.

RISKS

Complications associated with heart valve repair include post-operative bleeding, cardiac arrhythmias such as atrial fibrillation, heart block requiring permanent pacemaker placement, cerebrovascular accident (stroke), renal dysfunction, wound infection, pericardial effusion, and residual or recurrent valve regurgitation. Serious transcatheter risks include device embolization, leaflet detachment, and vascular access site hematoma.

JOURNEY

The clinical pathway for heart valve repair begins with a comprehensive diagnostic evaluation using echocardiography and cardiac catheterisation. Pre-procedure planning determines whether open surgical repair, minimally invasive thoracotomy, or transcatheter edge-to-edge repair is indicated. Following the procedure, patients transition from an intensive care environment to a telemetry ward, followed by structured cardiac rehabilitation and serial echocardiographic follow-up at 30 days, 6 months, and annually thereafter.

Hospitals Offering this treatment

India offers premium medical procedures at affordable prices. Discover our most popular treatments, delivered by the country's finest doctors.

Hisar Intercontinental Hospital

Hisar Intercontinental Hospital

Saray Mah. Siteyolu Cad. No:7, Umraniye, 34768, Istanbul, Turkey

Medical Park Group, Istanbul

Medical Park Group, Istanbul

Fahrettin Kerim Gokay Cad. Tıbbiye Cd., Kadikoy, Istanbul, Turkey

Emsey Hospital, Pendik, Istanbul

Emsey Hospital, Pendik, Istanbul

Çamlık, Selçuklu Cd. No:22, 34912 Pendik/İstanbul, Türkiye

LIV Hospital, Istanbul

LIV Hospital, Istanbul

American Hospital, Istanbul

American Hospital, Istanbul

Guzelbahce Sk. No:20, 34365, Nisantasi, Istanbul, Turkey

Memorial Hospitals Group

Memorial Hospitals Group

Burhaniye, Nagehan Sokağı No:4/A D:1, 34676 Üsküdar/İstanbul, Türkiye

Florence Nightingale Hospital Istanbul

Florence Nightingale Hospital Istanbul

Abide-i Hürriyet Cd No:166, 34381 Sisli, Istanbul

Medicana International Hospital, Istanbul

Medicana International Hospital, Istanbul

Halit Ziya Turkkani Mah. Medikal Park Cd. No:1, Beylikdüzü, İstanbul

Okan University Hospital Istanbul

Okan University Hospital Istanbul

Icmeler Mah. Aydınlıyolu Cd. No:2, 34947 Icmeler-Tuzla, Istanbul

Kolan International Hospital, Istanbul

Kolan International Hospital, Istanbul

Kaptanpasa Mah. Okmeydan Kavsagi, Darulaceze Cd. No:14, 34384 Sisli, Istanbul

Al Zahra Hospital, Dubai

Al Zahra Hospital, Dubai

Sheikh Zayed Road, Al Barsha 1, Dubai, UAE

Burjeel Medical City, Abu Dhabi

Burjeel Medical City, Abu Dhabi

28th Street, Mohammed Bin Zayed City, Abu Dhabi, UAE

Burjeel Hospital, Dubai

Burjeel Hospital, Dubai

Dubai, UAE (part of Burjeel Holdings network)

King's College Hospital, Dubai

King's College Hospital, Dubai

Dubai Hills, Mohammed Bin Rashid City, Dubai, UAE

Neuro Spinal Hospital (NSH), Dubai

Neuro Spinal Hospital (NSH), Dubai

Dubai Science Park, Umm Suqeim St, Al Barsha South, Dubai, UAE

HMS Al Garhoud Hospital, Dubai

HMS Al Garhoud Hospital, Dubai

Al Garhoud Street, Al Garhoud, Dubai, UAE

Canadian Specialist Hospital, Dubai

Canadian Specialist Hospital, Dubai

Abu Hail Street 269/1, Canadian Specialist Hospital Building, Hor Al Anz East, Deira, Dubai, UAE

NMC Royal Women's Hospital, Abu Dhabi

NMC Royal Women's Hospital, Abu Dhabi

Tower B, Mohammed bin Zayed Stadium, Al Jazira Club, Opposite Dusit Thani, Muroor Road, Abu Dhabi, UAE

NMC Specialty Hospital, Al Nahda, Dubai

NMC Specialty Hospital, Al Nahda, Dubai

7A St, Al Qusais, Al Nahda 2, next to Bait Al Khair Building, Dubai

Bangkok Hospital, Thailand

Bangkok Hospital, Thailand

2 Soi Soonvijai 7, New Petchburi Road, Huay Khwang, Bangkok 10310, Thailand

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