Heart valve repair

Heart valve repair
Specialty	cardiac surgery
ICD-9-CM	35.0-35.2

Heart valve repair is a surgical technique used to fix defects in heart valves in valvular heart diseases, and provides an alternative to valve replacement. Without further specification, it refers to native heart valve repair, rather than repair of an artificial heart valve.

General

Valvuloplasty is the widening of a stenotic valve using a balloon catheter. Types include:

Aortic valvuloplasty in repair of a stenotic aortic valve
Mitral valvuloplasty in the correction of an uncomplicated mitral

Valvulotomy

Commissurotomy of cardiac valves is called valvulotomy.

By valve

Mitral valve repair

Mitral valve repair is mainly used to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve.

Aortic valve repair

Aortic valve repair is a surgical procedure used to correct some aortic valve disorders as an alternative to aortic valve replacement.[1] Aortic valve repair is performed less often and is more technically difficult than mitral valve repair. There are two surgical techniques of aortic-valve repair:

The Reimplantation-Technique (David-Procedure)
The Remodeling-Technique (Yacoub-Procedure)

Tricuspid valve repair

Tricuspid valve repair is used to correct tricuspid regurgitation.[2]

History

The first two percutaneous ultrasound-guided fetal balloon valvuloplasties, a type of in utero surgery for severe aortic valve obstruction, were reported in 1991.[3]

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References

Hans-Joachim Schäfers: Current treatment of aortic regurgitation. UNI-MED Science, Bremen, London, Boston 2013, ISBN 978-3-8374-1406-6.
Page 4 in:Elizabeth D Agabegi; Agabegi, Steven S. (2008). Step-Up to Medicine (Step-Up Series). Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 978-0-7817-7153-5.
Kohl, T.; Sharland, G.; Allan, L. D.; Gembruch, U.; Chaoui, R.; Lopes, L. M.; Zielinsky, P.; Huhta, J.; Silverman, N. H. (2000-05-15). "World experience of percutaneous ultrasound-guided balloon valvuloplasty in human fetuses with severe aortic valve obstruction". The American Journal of Cardiology. 85 (10): 1230–1233. doi:10.1016/s0002-9149(00)00733-5. ISSN 0002-9149. PMID 10802006.

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[1] Hans-Joachim Schäfers: Current treatment of aortic regurgitation. UNI-MED Science, Bremen, London, Boston 2013, ISBN 978-3-8374-1406-6.

[agabegi2nd40-2] Page 4 in:Elizabeth D Agabegi; Agabegi, Steven S. (2008). Step-Up to Medicine (Step-Up Series). Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 978-0-7817-7153-5.

[3] Kohl, T.; Sharland, G.; Allan, L. D.; Gembruch, U.; Chaoui, R.; Lopes, L. M.; Zielinsky, P.; Huhta, J.; Silverman, N. H. (2000-05-15). "World experience of percutaneous ultrasound-guided balloon valvuloplasty in human fetuses with severe aortic valve obstruction". The American Journal of Cardiology. 85 (10): 1230–1233. doi:10.1016/s0002-9149(00)00733-5. ISSN 0002-9149. PMID 10802006.