The heart has 4 valves that regulate the flow of blood. These include the aortic, mitral, tricuspid, and pulmonic valve. Valves are designed so that blood travels in one direction. Valves prevent the backward flow of blood. There are 2 things that can go wrong with valves:
They can narrow and get tight. The medical term for this is “stenosis”
Or valves can become leaky and blood flows backward. This is called “regurgitation”
Mitral valve disease is one of the most common valvular heart diseases in the world, yet it is still undertreated. Patients with severe mitral regurgitation and comorbidities survive only 2.6 years without correction. Intervention can improve survival.
In patients with mitral regurgitation, some of of the blood leaks back into the heart and lungs. The heart has to work harder to get blood to the body and with time, the heart begins to fail. Common symptoms of mitral regurgitation include:
Shortness of breadth
Arrhythmias or atrial fibrillation
Here’s what mitral regurgitation looks like with an ultrasound, also known as an echocardiogram:
The most common ways of diagnosing mitral regurgitation are by either listening to the heart with a stethoscope or by performing an ultrasound of the heart.
Here’s what mitral regurgitation sounds like with a stethoscope: >
Many patients are often unaware that they have mitral regurgitation. Even in patients that don’t have symptoms, the ACC and AHA recommends surgery in patients with severe mitral regurgitation if there is a good chance that the valve can be repaired. The reason is that with time, the heart will only get worse and it’s better to intervene sooner than later.
Fortunately, there are a lot of good treatment options. Your doctor can determine which is the best option.
Minimally Invasive Valve Surgery
A small 5cm incision is made on the right chest with direct access to the mitral valve without having to open the chest (i.e. sternotomy). Advantages include reduced surgical trauma, less blood loss, less chance of infection, and faster recovery.
Here’s a video of a minimally invasive mitral valve surgery: