Cardiovascular Institute

Treatments

Treatment for heart valve disease depends on each patient’s condition and situation. Our multidisciplinary team collaborates to develop an optimal treatment plan that is specific to your case, needs and circumstances. Options include:

Heart valve replacement involves open-heart surgery and support from a heart-lung bypass machine. The surgeon enters through your sternum and replaces the diseased valve with either a mechanical valve or an artificial (prosthetic) valve.

Heart valve repair allows your own valve to remain in place while the surgeon makes repairs through a standard incision or through a minimally invasive approach.

Minimally invasive valve replacement is when a surgeon performs heart surgery often going between your ribs or through a small incision in the sternum rather than dividing the breast bone completely as in traditional valve surgery. The surgeon uses magnified high definition 3D video monitoring to facilitate the surgery.

Aortic valve surgery involves replacing or repairing your damaged aortic valve through either traditional surgery or by using minimally invasive techniques. If your aortic valve is replaced surgeons implant either a new mechanical or tissue valve. 

Transcatheter aortic valve replacement (TAVR) is a less invasive approach that involves replacing the bad aortic valve with a new one while your heart is still beating on its own. The valve is stitched inside of a stent, which is fed through the femoral artery (located in your groin) to your heart. A tiny balloon temporarily inflates inside the stent, setting the new valve in place. This is done through a few small incisions while the doctor views the procedure on a high resolution, 3-D camera and monitor.

Balloon valvuloplasty is performed to repair the valves of patients with narrowed mitral, aortic or pulmonary valves. It is a minimally invasive technique that involves inserting a thin, tiny hollow tube (catheter) with a balloon on its tip through a blood vessel in your arm or groin to your heart and into the narrowed valve. When in place, the balloon is inflated and deflated several times to stretch the valve opening and improve blood flow. The catheter and balloon are then guided back out of your body.

 
 

Mitral valve surgery can treat defective mitral valves and those damaged by infection or aging by reconstructing the valve from your own tissue or replacing it with an artificial valve. The surgeon reaches your valve through a few small incisions and inserts a high-definition camera to see a 3-D view of your valve and surrounding heart structure. The physician then uses the robotic system to control the movement of the instruments that repair or replace your valve.

 
 

Robotic minimally invasive mitral valve surgery can treat defective mitral valves and those damaged by infection or aging by reconstructing the valve from your own tissue or replacing it with an artificial valve. The surgeon reaches your valve through a few small incisions in the side of your chest and inserts a high-definition camera to see a 3-D view of your valve and surrounding heart structure. The physician then uses the robotic system to control the movement of the instruments that repair or replace your valve. The Cardiovascular Institute is one of only a few medical centers in the country performing this groundbreaking procedure.

Mitraclip valve repair is a groundbreaking procedure being performed at only a select group of medical centers with the expertise. The surgeon inserts a thin, hollow tube (catheter) with a clip on the end through a blood vessel in your groin and into your heart valve. The clip is then placed on the leaking portion of the valve to make it work more effectively. Advanced imaging assists physicians with viewing the entire procedure on a monitor.

Tricuspid valve surgery is when a surgeon reaches your valve through a few small incisions and inserts a high-definition camera to see a 3-D view of your valve and surrounding heart structure. The robotic system is used to control the movement of the instruments that repair or replace your valve. Your heart is frequently allowed to beat on its own with this type of operation rather than placing you on a heart-lung machine.

Surgery for endocarditis is when a surgeon removes all infected tissue in the lining of your heart valve. Because endocarditis enters the blood stream it can cause growths or holes on your valve or create scarring, which often results in a leaky heart valve. The surgeon will either repair your heart tissue and valve or replace them.

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