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Mitral valve is present between the left atrium and the left ventricle of the pump . Mitral valve disease results in mitral valve regurgitation or mitral valve stenosis where the menstruum of blood is impaired.[1]In such case , the mitral valve requires to be repaired or replaced .
Is The Heart Stopped During Mitral Valve Surgery?
A mitral valve surgery is either an open philia surgical operation wherein your dresser is switch off to reach your heart or a minimally encroaching subroutine where small incisions are made on the chest to pass on the heart . During the procedure , you will be connected to a heart - lung shunt machine as a replacement to the heart to allow uninterrupted flow of blood to the consistence .
Minimally Invasive Heart Surgery . There are unlike type of minimally invading procedures such as :
Thoracoscopic Surgery . This case of surgery postulate the utilization of farsighted instruments which are slip in through one or more modest incision in the bureau ,
Robot - Assisted Heart Surgery . This type of OR is perform by a operating surgeon using robotic arm . This type of function is performed by experient heart surgeon and is available only at few centers . The cardiologist performs the operation using automatonlike munition and viewing the heart through blow up in high spirits - definition 3 - D view on a video monitor .
Mitral Valve Surgery – Open . Mitral valve renewal – assailable ; Mitral valve repair – unfastened or Mitral valvuloplasty is generally referred to as mitral surgery . The valve opens and close up countenance continuous flow of blood ; the impaired valve cause a backward current of blood which may produce several cardiovascular symptoms .
Mitral valve surgery – open is performed by get to a large cut in the breastbone to attain the heart whereas minimally trespassing procedures require only small incision to reach the same place . The patient will be under anaesthesia and the procedure will be painless during the surgery.[2 ]
middle - lung bypass machine or bypass pump plays an important part during the procedure . The marrow is halt during the procedure and the operation of the center is performed by a warmheartedness - lung bypass machine or ring road pump . A pocket-size undercut is made on the left side of the hart to reach the mitral valve and depending upon the condition of the valve either repair or permutation procedure is performed.[3 ]
Valve reparation can be performed by adding ring - like structures around the valve . This doughnut - social organization can be made of cloth , metallic element or tissue . At times the surgeon work on the valve to give it embodiment , trim the supererogatory muscles or reconstruct one or more of the three flaps ( brochure ) of the valve .
If the heart specialist finds that the repair is not a full option , then they will choose for mitral valve replacement . The mitral valve is all removed and a new mitral valve is sew together . The replaced mitral valve can be made of synthetic material ( mechanical valves ) or biological valves . mechanically skillful valves are made of stuff such as Ti . These valve have a long life , but the patients are required to take anticoagulants throughout life . Biological valve are made of animal tissues and have a life of only 10 to 12 years ; unlike mechanically skillful valve these valve do not require affected role to take anticoagulants.[4 ]
After successful replacement or repair , heart surgeon check whether the valve has originate working and then cautiously removes the heart - lung machine , drain fluid which have build up in the warmheartedness and sews the chest ivory with untainted steel telegram . A pacer is tie until the heart rhythm rejoin to normal.[5 ]
Conclusion
The tenderness is stopped and the functions of the heart are do by the pump - lung machine or bypass pump during a mitral valve operation . Mitral valve surgery should be performed at medical centers which has an experienced medical team to do the procedures and provide you with the serious aftercare . The essence - lung auto or ring road pump is removed and a pacemaker is plug in until the performance of the spirit is restored and gets the normal heart regular recurrence .
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