Symptoms
Surgery. Though most people with mitral valve prolapse don't need surgery, your doctor may suggest surgical treatment if you have severe mitral valve regurgitation, whether you have symptoms or not. Severe mitral valve regurgitation can eventually cause heart failure, preventing your heart from effectively pumping blood.
Causes
It is seen that once a successful surgery of mitral valve repair is done, a patient may live without complications for at least 10 years. With recent scientific advancement and with proper after surgery care procedures, the patients are seen to lead a complication free life even after 20 years.
Complications
- Age
- Sex
- Hypertension
- Dyslipidemia
- Duration of diabetes
- eGFR
- Ejection fraction
- Presence of mitral valve disease
- Presence of aortic-valve sclerosis
Does a mild mitral valve prolapse require a surgery?
- Beta blockers – These can help to relieve the palpitations, arrhythmia, and chest pain related to MVP. ...
- Benzodiazepines – Benzos, such as Xanax, have a sedative effect on the body. ...
- Vasodilators – These prescription medications widen the blood vessels to enable blood to flow better and can lessen the amount of mitral regurgitation. ...
How long can you Live after mitral valve repair?
What is life expectancy after mitral valve repair?
What does the treatment for mitral valve prolapse include?
Can you go under anesthesia with mitral valve prolapse?
Anesthetic Management The key to anesthesia in MVP is minimizing excessive LV contraction (e.g., SNS stimulation, decreased SVR, hypovolemia, or unusual surgical positioning).
What percentage of people with mitral valve prolapse require surgery?
About 1 in 10 people with mitral valve prolapse need their valve repaired or replaced.
What should I avoid if I have mitral valve prolapse?
Limit your consumption of sodium, saturated and trans fats, added sugars, and alcohol. And load up on veggies, fruits, whole grains, lean meats, fish, legumes, and vegetable oils. These are the foundation of what's often referred to as a “heart-healthy diet.”
Can you have surgery if you have mitral valve regurgitation?
Surgery or another procedure to repair or replace a mitral valve may be done if you have mitral valve disease such as: Mitral valve regurgitation.
How do I know if my mitral valve prolapse is getting worse?
However, some people develop symptoms that get worse over time. These symptoms can vary from person to person, but may include the following: palpitations, or the feeling of the heart skipping a beat or beating too hard. a racing heart.
Is mitral valve prolapse a serious heart condition?
Mitral valve prolapse is a common cause of a heart murmur caused by a "leaky" heart valve. Most cases of mitral valve prolapse are not serious and only need to be monitored. Mitral valve prolapse is associated with many other symptoms and conditions.
How do you prevent mitral valve prolapse from getting worse?
Lifestyle and home remediesManage blood pressure. Control of high blood pressure is important if you have mitral valve regurgitation.Eat a heart-healthy diet. ... Get regular exercise. ... Maintain a healthy weight. ... Prevent infective endocarditis. ... Avoid or limit alcohol. ... Avoid tobacco. ... Get regular health checkups.
What is the best treatment for mitral valve prolapse?
Surgery and other procedures Mitral valve repair is preferred because it saves the existing valve. Valve repair and replacement may be done using open-heart surgery or minimally invasive surgery. Minimally invasive surgery involves smaller incisions and may have less blood loss and a quicker recovery time.
Can you live a long life with mitral valve prolapse?
Most people with mitral valve prolapse can lead active, long lives. It is important to receive ongoing medical care to monitor your condition, to follow a heart healthy diet and get regular exercise. If symptoms appear or worsen, they can usually be controlled with medicines.
What is the average age for heart valve replacement?
Fact: Valve Replacement and Heart Bypass surgery (or a combination of the two) are the most common procedures in the “elderly.” Fact: More than 30% of the patients having heart valve surgery are over 70. Fact: More than 20% of heart valve surgical patients are over 75 years of age.
What is the life expectancy after mitral valve replacement?
Overall 1‐ and 5‐year survival was 90.7%, 74.2% versus 81.3%, 61.0% (P<0.01). Median survival after MV ‐repair was 7.8 years, close to 8.5 years (95% CI : 8.2–9.4) in the age‐matched UK population (ratio 0.9). Rate of re‐operation for MV ‐dysfunction was 2.3% versus 2.5% (mitral valve replacement, P=1.0).
What is the survival rate for mitral valve replacement surgery?
Intermediate- and long-term mortality curves for all patients are shown in Figure 1. At 5 years, the survival of patients who underwent mitral valve repair was 82% compared with 72% for those who underwent valve replacement.
When do you need surgery for mitral valve prolapse?
Most people with mitral valve prolapse don't need surgery. But surgery may be recommended if mitral prolapse causes severe mitral valve regurgitation, whether or not you have symptoms. Surgery for a diseased or damaged mitral valve includes mitral valve repair or mitral valve replacement.
When does mitral valve regurgitation need surgery?
The most common indication for mitral valve surgery is symptomatic chronic severe primary mitral regurgitation, usually owing to degenerative valve disease, with a left ventricular ejection fraction (LVEF) of >30% (Class I recommendation); mitral valve surgery is indicated in symptomatic patients with severe LV ...
What is the death rate for mitral valve surgery?
The Society of Thoracic Surgeons suggests the current mortality rate for mitral valve repair is 1.5% compared to 5.5% for mitral valve replacement.
What is the survival rate of mitral valve replacement surgery?
Intermediate- and long-term mortality curves for all patients are shown in Figure 1. At 5 years, the survival of patients who underwent mitral valve repair was 82% compared with 72% for those who underwent valve replacement.
What is the procedure called to repair a mitral valve?
Surgeons often may tighten or reinforce the ring around the valve (annulus) in a procedure called an annuloplasty. Doctors may perform certain mitral valve repair procedures using a long, thin tube (catheter) and clips or other devices.
What to do if your mitral valve isn't repaired?
In this procedure, your doctor removes the mitral valve and replaces it with a mechanical valve or a valve made from cow, pig or human heart tissue (biological tissue valve).
What to expect when you have mitral valve disease?
What you can expect. If you have mitral valve disease, you may eventually need mitral valve repair or mitral valve replacement surgery to treat your condition. Your doctor may often recommend mitral valve repair if possible, as it preserves your mitral valve and may preserve heart function.
Why do my mitral valves bulge?
This commonly occurs due to valve leaflets bulging back — a condition called mitral valve prolapse. In another condition, called mitral valve stenosis, the leaflets become thick or stiff, and they may fuse together. This results in a narrowed valve opening and reduced blood flow through the valve.
Where is the mitral valve located?
Mitral valve repair and mitral valve replacement are procedures that may be performed to treat diseases of the mitral valve — the valve located between the left heart chambers (left atrium and left ventricle).
Why do doctors preserve cords during heart surgery?
When possible, doctors may preserve the cords supporting the valve during the procedure, in order to preserve as much of the heart's function as possible. In some cases, a catheter procedure may be conducted to insert a replacement valve in a biological tissue valve in the heart that is no longer working properly.
Can you have heart surgery for mitral valve disease?
If you need heart surgery for another condition in addition to mitral valve disease, doctors may conduct surgery to treat both conditions at the same time. Your doctor will discuss with you whether mitral valve repair or mitral valve replacement may be most appropriate for your condition.
What is the mitral valve prolapse?
Mitral valve prolapse is a type of myxomatous valve disease. The tissue of the mitral valve leaflets and chordae are abnormally stretchy, so that as the heart beats, the mitral valve bows or flops back into the left atrium.
What to do if you have valve disease?
Tell your doctors and dentist you have valve disease. You may want to carry a card with this information. Call your doctor if you have symptoms of an infection (sore throat, general body achiness, and fever). Colds and flus do not cause endocarditis. But, infections, which may have the same symptoms, do.
What are the symptoms of a valve leak?
bursts of rapid heartbeat (palpitations) chest discomfort. easily tired (fatigue) dizziness. shortness of breath. anxiety. Symptoms do not always relate to how serious your MVP is. You may have frequent symptoms, yet diagnostic tests may show your valve leak is not significant.
What is MVP in heart?
MVP is called the click-murmur sound because the doctor will hear a click and a murmur (abnormal blood flow through the valve) as the valve leaflets bow back into left atrium with each heartbeat. Other tests used to diagnose valve disease may include : Echocardiography. Transesophageal echocardiography.
Can a mitral valve leak?
Those with mitral valve prolapse may not have any regurgitation (leaky valve) or they may have a range of severity from a mild leak to a very floppy, leaky valve. The majority of people have no leak or a mild leak. In this case, MVP is not a cause for concern.
What is the mitral valve prolapse?
Mitral valve prolapse is a condition in which one or both portions of the valve are “loose” so that the valve does not close completely when the heart contracts. This allows the blood to go backwards through the heart, leading to inefficient heart function ...
Why do mitral valves have no symptoms?
Most patients with mitral valve prolapse have no symptoms because only a small amount of blood leaks through the abnormal valve.
What happens if a heart attack occurs in the portion of the heart where the mitral valve is attached?
If a heart attack occurs in the portion of the heart where the mitral valve is attached, then the valve becomes dysfunctional and starts to leak. When significant valve leakage is left untreated, the heart gets weaker, enlarges and congestive heart failure sets in.
What are the symptoms of a leaky mitral valve?
However, when the amount of leakage through the valve becomes excessive, symptoms develop. These include chest pain, fatigue, shortness of breath, dizziness or fainting spells. Other heart conditions also can cause a leaky mitral valve, the most common of which is myocardial infarction, or heart attack. If a heart attack occurs in the portion of ...
What is the most common valve abnormality in the heart?
Mitral valve prolapse is the most common valve abnormality of the heart, affecting up to 10% of the population. Most patients with mitral valve prolapse have no symptoms or very mild symptoms and require no treatment.
Which valve is responsible for directing blood to the left ventricle?
The mitral valve is a one-way valve directing blood from the left atrium — the upper chamber of the heart — to the left ventricle, the main pumping chamber of the heart. The mitral valve, made up of two “sail-like” structures called leaflets, is supposed to close when the heart beats.
Is mitral valve repair better than replacement?
However, mitral valve repair has many advantages over replacement of the valve. These include better heart function after surgery, fewer risks of future strokes or valve infections, and a lower mortality rate.
How to repair mitral valve?
If your surgeon needs to repair your mitral valve through tiny incisions (without opening up your chest), here are minimally invasive surgical options: 1 Right mini-thoracotomy. The surgeon inserts special instruments and repairs the valve through a 2- to 3-inch incision in a skin fold on the right side of the chest. 2 Partial upper sternotomy. This also involves a 2- to 3-inch incision, this time in the upper portion of the sternum. This gives the surgeon easier access to repair the valve. 3 Robotically assisted mitral valve repair. In this case, your surgeon works through a few incisions of about 1 inch or less. With a computer console, the surgeon can control instruments on thin robotic arms. This allows him or her to open the thin sac around your heart to perform the repair.
What is the mitral valve?
The mitral valve allows oxygen-rich blood flowing from the lungs to return to the heart. “The most common valve problem is leakage, also known as mitral valve regurgitation ,” Dr. Kapadia says. “If the blood leaks back into the lungs, it causes you to have shortness of breath.”.
What is it called when a valve doesn't open?
If your valve doesn’t open properly, this is known as mitral valve stenosis. “We see mitral valve stenosis in patients who were exposed to a lot of radiation from breast cancer or lung cancer treatments or in some patients with calcification of mitral valve without obvious causes,” he says.
How does a robotic mitral valve repair work?
In this case, your surgeon works through a few incisions of about 1 inch or less. With a computer console, the surgeon can control instruments on thin robotic arms. This allows him or her to open the thin sac around your heart to perform the repair.
Is mitral valve surgery life threatening?
If failing health or a weak heart makes open surgery a higher risk for you, there are safer surgical options. “In some situations, mitral valve disease is not life threatening and does not require surgery,” Dr. Kapadia says.
Can a surgeon repair a mitral valve?
Medication is sometimes a solution, but surgeons also may use minimally invasive options to repair the mitral valve. Researchers are also investigating several promising mitral valve replacement options. “Percutaneous (through the skin) mitral valve repair and replacement techniques are rapidly growing. They help patients who currently do not have ...
Can mitral valve disease be solved?
While mitral valve disease can lead to severe heart failure, it can often be solved with open surgery. But, what if you are unable to undergo major surgery because of other health issues?
How many people have mitral valve prolapse?
It is estimated that two to four percent of the population has a mitral valve prolapse of some degree. It is also likely that there is a genetic component to MVP since it seems to run in families. Many people live their whole lives without symptoms.
Where is the mitral valve located?
The mitral valve is located in the heart's left ventricle between the upper and lower chambers. This valve has a right and left section that open to allow blood to move from the upper atrium and the lower ventricle on the left side of the heart, and then close to prevent the backflow of blood. Tetra Images / Erik Isakson / Brand X Pictures / Getty ...
What does it mean when a heart valve is loose?
The term prolapse means that the valve is loose and a little floppy so that it doesn't shut as firmly as it should. It may close with a faint click or may permit a tiny amount of blood to leak through, producing a heart murmur . A large prolapse can allow blood to seep back into the heart’s top chamber.
Is mitral valve prolapse a progressive disease?
This is called mitral regurgitation or a "leaky valve.". Mitral valve prolapse is generally not considered to be life-threatening or progressive. It is regarded by most as one of the more benign forms of a heart murmur. Mitral Valve Prolapse and Sudden Death.
Can you exercise with a prolapsed mitral valve?
Rarely is someone discouraged from exercise because of a mitral valve prolapse. Treatment for MVP varies depending upon the extent of the prolapse, so it's important to discuss your individual symptoms with your physician before starting an exercise plan.
Does exercise cause mitral regurgitation?
Severe cases may require the input of a cardiologist to ensure that exercise doesn't inadvertently promote mitral regurgitation. In some cases, exercise can place undue stress on the mitral valve, causing more harm than good. 1 .
Can you have heart palpitations with MVP?
Those who do have symptoms may experience heart palpitations , chest pain, fainting, shortness of breath, reduced stamina, or fatigue with periods of weakness. The two main concerns for those living with MVP are the long-term complications that can arise if the condition is not properly treated.
Overview
Why It's Done
Risks
How You Prepare
What You Can Expect
- To diagnose mitral valve prolapse, your health care provider will usually do a physical exam and listen to your heart with a stethoscope. If you have mitral valve prolapse, a clicking sound may be heard through the stethoscope. If blood is leaking backward through the mitral valve, a whooshi…
Results
Clinical Trials