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Valve Surgery

WHAT IS THE PROPOSED PROCEDURE?

Heart valve disease is when one or more valves in the heart are not working fully and blood does not flow through the heart as it should. This can put extra strain on the heart and cause symptoms such as breathlessness and swollen ankles. Severe heart valve disease can cause the heart to pump less efficiently. There are a number of treatments to help deal with heart valve disease.

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WHY DO I NEED THIS PROCEDURE?

Valve surgery is required whenever any of the valve(s) function is impaired to the extent that it cannot be managed by medication and it is done under full general anesthesia.

HOW WILL IT BE PERFORMED?

Routine valve surgery is done through the midline incision over the chest but in select cases it can be done by small incision on the side of the chest. Medication is used temporarily to stop your heart. Your blood will be re-routed to a heart-lung (bypass) machine. This will take over from your heart and lungs, and will add oxygen to your blood and maintain your circulation. The diseased valve will then be replaced or repaired. Two types of artificial valves are used for replacement one is tissue valve and another is metallic valve. Patients with metallic valves need to be on blood thinner medication.

HOW WILL IT BENEFIT ME?

Surgery can treat heart valve disease by replacement or repairing a diseased or abnormal valve and can eliminate, or improve your symptoms and may prevent permanent damage to your heart and it prolongs the survival and gives good quality of life.

WHAT ARE THE CONSEQUENCES OF NON TREATMENT?

Non treatment could lead to end stage heart failure and life threatening complications and death. Non compliance to the medication in terms of blood thinner may lead to mechanical valve dysfunction.

WHAT ARE THE ALTERNATIVES AVAILABLE?

Usually other options are ruled out if valve surgery is needed it is the only option.

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WHAT ARE THE RISKS/ COMPLICATIONS OF THE PROCEDURE?

1-2% risk to life. In rare instances i.e. 1-2%chances of kidney dysfunction and dialysis, stroke, and prolonged ventilation. Mental confusion which is temporary, wound complication like delayed healing specially in Diabetics.

 

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