Transcatheter mitral valve replacement (TMVR) is a surgical procedure that replaces the heart’s mitral valve. Patients with mitral valve disease can choose this less invasive option instead of open heart surgery.
The old valve is replaced by a manufactured (human-made) valve or one created from biological heart tissue from a pig, cow, or human. The malfunctioning mitral valve will be replaced by the new valve.
One of the four heart valves that maintains blood flow in the proper direction is the mitral valve. The left ventricle (chamber on the bottom left) and left atrium (chamber on the top left) of the heart are separated by the mitral valve. When it works properly, its two leaflets, which are flaps that open and close with each heartbeat, allow blood to flow forward in a single direction.
Some may have issues with their mitral valve from birth or develop them later on. These issues include:
If open heart surgery is not a good option for a patient with mitral valve disease, TMVR may be an alternative.
Despite the fact that the transcatheter technique carries lower risks than open-heart surgery, certain issues can arise, such as:
If an open-heart surgery is required, the heart team may decide to switch up the process. A second procedure can be necessary for certain complicaions.
The healthcare providers will do procedures like a CT scan and echocardiography before to TMVR. The team uses the tests to assist plan the process.
The patient will also consult with the healthcare provider to ascertain the most appropriate anesthetic type to avoid pain throughout the surgery. There are alternatives like conscious sedation or general anesthesia.
The patient will receive detailed instructions on how to get ready for the TMVR from the healthcare provider. Among them could be:
It calls for a multidisciplinary team of experts, including anesthesiologists, cardiac surgeons, interventional cardiologists, and imaging specialists. The team will perform the following:
It will take two to three hours to complete the process.
The healthcare providers continuously check the patient’s vital signs, such as blood pressure and oxygen saturation levels, throughout the treatment. Echocardiography, which produces images of the heart’s chambers and valves, is another tool they use to monitor the heart.
The patient will be transferred to the recovery room after TMVR, where they will be observed by the medical team until the anesthesia wears off. Most patients stay in the hospital for a few days, however some may only need to visit the intensive care unit (ICU) for a brief period of time.
The following specific instructions will be given to the patient by the healthcare providers:
There are several advantages to heart valve surgery using the transcatheter method. It can treat mitral valve disease, easing symptoms and lowering the possibility of serious health problems. Furthermore, this approach offers a quicker recovery than conventional open-heart surgery options.
In the event that the patient has mitral valve replacement, seek immediate medical attention if the patient see any of the following stroke symptoms:
In addition, seek emergency medical attention if the patient exhibits any of the following heart attack symptoms:
There are several issues for calling the healthcare provider:
+66 2066 8888