Mitral valve stenosis: Repair or replace the valve?
If you have
mitral valve stenosis and have decided you need
surgery for your mitral valve, you have a choice of repairing it or replacing
it. When making this decision, you and your doctor need to consider:
The condition of the valve and what is causing
the stenosis. The more severe the stenosis, the more likely replacement will be
The surgeon's skill and experience in performing the
procedures. Both valve replacements and balloon valvotomies are highly
technical and should be performed by an experienced surgeon.
Whether you have a blood clot in your left atrium.
How urgently you
Whether your heart rhythm is regular or
Both balloon valvotomy and mitral commissurotomy repair your
mitral valve, while a valve replacement removes it and replaces it with an
Angina -- Discomfort, pain, or pressure in the chest caused by an inadequate blood supply to the heart. Pain may also be felt in the neck, jaw, or arms.
Angiogram (cardiac catheterization) -- A test used to diagnose heart disease. During the procedure a catheter is inserted into an artery, usually in the leg, and contrast dye is injected into the arteries and heart. X-rays of the arteries and heart are taken.
Anticoagulant -- A medication that prevents blood from clotting; used for...