When is mitral valve repair preferred over replacement surgery?

Mitral valve repair may be recommended as a treatment for mitral valve regurgitation if the valve can be repaired and the repair is going to last for a long time.

Valve replacement surgery is preferred if your mitral valve has been damaged seriously and cannot be repaired. The decision of whether to opt for mitral valve repair or valve replacement depends on your health condition and your necessities.

Both mitral valve repair and replacement procedures have advantages, but each one is more suitable in certain conditions. The decision whether to repair or replace the mitral valve is made based on factors such as general health, the presence of other health problems, the condition of the damaged mitral valve, and benefits expected from the surgery. In certain cases, the decision may be clearly in favor of the repair.

Mitral valve repair is generally preferred over replacement if your valve is suitable for the reconstruction, without much damage to flaps (leaflets) of the valve and the tough fibers controlling the movement of the leaflets. This surgery prevents the need for lifelong blood-thinning medications and also reduces the likelihood of repeated surgery later in life.

Both procedures entail certain advantages, but each one is more suitable in particular circumstances. Your doctor will be able to tell which one is more appropriate for you.

Mitral valve repair is typically preferred in patients with valve prolapse or regurgitation. This option helps them avoid blood-thinning medication and helps preserve the left ventricular function better. Mitral valve replacement is necessary if the valve is severely damaged.

Disclaimer: We do not assume responsibility for the use of the provided information or its interpretation. Our efforts are towards providing current and reliable information; however these should not be considered, or used as a substitute for diagnosis or treatment.

Source: https://www.cedars-sinai.edu/Education/Medical-Library/

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