Introduction:
Minimally Invasive mitral valve surgery is generally preferred over open mitral valve surgery, for patients requiring intervention. Both repair and replacement of the mitral valve can be performed through a minimally invasive approach.
Repair Vs Replacement:
Whilst replacement surgeries are often much easier for a surgeon to perform, mitral valve repair, where possible, is much more beneficial for the patient. Repairing the patient’s own valve means that the implantation of an artificial valve is completely avoided, therefore the patient does not require any anticoagulation (blood-thinning) medication. Mitral valve replacement also helps maintain a strong function of the left ventricle (main pumping chamber of the heart). Whilst replacement surgeries are often much easier for a surgeon to perform, mitral valve repair, where possible, is much more beneficial for the patient. Repairing the patient’s own valve means that the implantation of an artificial valve is completely avoided, therefore the patient does not require any anticoagulation (blood-thinning) medication. Mitral valve replacement also helps maintain a strong function of the left ventricle (main pumping chamber of the heart).
Performing Minimally Invasive mitral valve repair surgery requires high levels of training and experience, with only a handful of surgeons across India having mastered this procedure. Dr. M M Yusuf & his team are well experienced in performing Minimally Invasive Mitral valve repair surgery, with consistently good outcomes.
How is it performed?
A 5 -7 cm inch cut is made on the right side of the chest (right thoracic cavity, shown). Surgery is performed using the assistance of either a video thoracoscope or the Davinci Robotic system. If the valve is significantly damaged or thickened (with calcification), it may not be repairable. In these circumstances, a replacement using a tissue or mechanical valve would be necessary.
Minimally invasive mitral valve repair/ replacement – advantages:
1. Minimal trauma and pain
2. Minimal blood loss and related complications
3. Minimal risk of wound infection
4. Short hospital stay – 3-4 days average
5. Quick recovery to normal activity – 2-3 weeks average
