Friday, January 20, 2012

Minimally Invasive Mitral Valve surgery overview and Advantages

Your heart is a involved organ that pumps blood throughout your body as the succeed of its electrical system. A group of cells called the sinoatrial node produces electrical impulses that cause the four chambers of your heart (i.e. Two atria and two ventricles) to contract. The contractions occur in a uniform manner and push blood from the chambers.

As blood leaves each chamber, it flows past a valve; there are four of them in your heart. The mitral valve (Mv) separates your left atrium (upper chamber) and left ventricle (lower chamber). Illnesses, healing events, and congenital defects can cause disorders with the Mv. Minimally invasive mitral valve surgery (Mimvs) can be performed to fix these disorders. This description will contribute an overview of the approach and review some of its advantages over former thoracotomy.

Types Of Mitral Valve Diseases

There are two main problems that can build with the two leaflets of your mitral valve: stenosis and regurgitation. The previous is far less coarse than the latter.

A stenotic Mv is one that is narrower than normal. Because the chance is restricted, less blood can flow from the left atrium into the left ventricle. This can cause pooling and clotting within the upper chamber, and make less oxygenated blood ready for circulation. This disease is regularly a side succeed of untreated rheumatic fever; the body's immune law attacks the valve and causes the valve's flaps to thicken and stiffen.

A regurgitant Mv is one in which the leaflets flop back into the atrium. This is called prolapse. The health allows blood to flow backward from the ventricle into the atrium when the lower chamber contracts. As a result, pressure rises within the upper chamber and causes it to enlarge.

Regurgitation can be caused by a previous heart assault or an infection that was left untreated. One of the side effects of this disease is atrial fibrillation; your heart's electrical law becomes disrupted.

Different Surgical Approaches

There are any separate methods used for minimally invasive mitral valve mend surgery. The approach depends on the disorder. For example, a stenotic Mv can be resolved with a procedure called balloon valvuloplasty. This formula uses a catheter with a balloon affixed to the tip to forcibly widen the narrowed valvular opening.

A regurgitant valve can be repaired with separate methods, depending on which leaflet is diseased. A triangular resection is done if the posterior leaflet if flopping. On the other hand, if the previous leaflet is affected, the surgeon may accomplish a chordal transfer. This is done to generate withhold for the diseased flap.

Traditional thoracotomy requires a long (i.e. Six to eight inches) incision into the chest after which the breastbone is separated. This process is unnecessary with minimally invasive techniques. Depending on the surgical equipment ready and the surgeon's expertise, minimally invasive mitral valve mend can regularly be terminated with a few small incisions. In some cases, surgeons can complete a procedure with little more than a few keyhole entries.

Advantages Of Minimally Invasive Techniques

Minimally invasive mitral valve surgery offers any benefits over conventional thoracotomy. First, procedures can be performed in less time with a lower likelihood of complications (i.e. Stroke, endocarditis, etc.). Second, it is less traumatic on the heart muscle and thus, can best withhold its general function. Third, the patient's recovery time is far shorter with a minimally invasive approach than would otherwise be the case.

Another major advantage of Mimvs is that the mortality rate is lower than with former open heart surgery. Moreover, if the mitral valve is repaired rather than replaced, anticoagulant therapy is regularly unnecessary.

All of the above benefits dovetail to contribute the outpatient with an whole improvement in their potential of life. Less trauma while surgery, fewer complications, a shorter recovery period, and the absence of blood thinners, contribute the outpatient with a more enjoyable postoperative lifestyle. In the end, that is the extreme purpose of minimally invasive mitral valve repair.

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