MItral Valve Repair

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Zoltania

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Most mitral valve repairs are expected to last indefinitely. Here's an article from 2015 with encouraging numbers about occurrence of regurgitation and need for re-operation after minimally invasive mitral valve repair:

https://cardiothoracicsurgery.biomed...019-015-0390-y

Highlights:

"[R]ate of freedom from reoperation after mitral valve repair was 98.9 ± 0.3 % at 1 year, 96.4 ± 0.8 % at 5 years and 95.4 ± 1.1 % at 10 years."

"Freedom from recurrent mitral regurgitation was 99 ± 0.4 % at 1 year, 95 ± 1.3 % at 5 years and 86.6 ± 3.8 % [at 10 years]."
 

pellicle

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Zoltania;n885135 said:
Most mitral valve repairs are expected to last indefinitely.
I understood that for such to be the case a highly specific selection criteria was required. That there are a number of "situations" where its determined that a mitral is best not repaired but replaced. So while this is correct for those who meet those criteria its not my understanding that its a universal set by any means.

This was interesting reading
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4909104/

I'm not intending to "correct" you but just ad more data threads for the OP to consider (one article is never enough ;-)
 
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carolinemc

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@guest it depends on the repair itself. I had one on the aortic valve back when I was 8 years old in 1973. Got the aortic valve replaced with a St. Jude's
leaflet valve in 2001 at age 36 years old. So it depends on the condition and age of the patient. Good luck with your repair. And come back often, we are here to help.
 

deano89

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before my repair which i have now had 9 years ago , i was shown round papworth by a guy who had a repair 30 years ago and still going strong , yet i was opposite a guy who had only 5 years out of his repair and he just had a mechanical put in , so it does seem it depends on what caused the problem in the first place and the skill of the surgeon , when i spoke to my surgeon Frank Wells he said it was a fix for life , mine was described as complex repair and i had a st jude ring round the valve as well
 

dornole

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Depends, I was told 1-15 years but I'm on year 16 and my new cardiologist said it might last forever (I like the new guy . . . )
 

pellicle

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dornole;n885562 said:
Depends, I was told 1-15 years but I'm on year 16 and my new cardiologist said it might last forever (I like the new guy . . . )
glad to see its still going strong. Not knowing enough about your history (valvular) I wonder if you may find the following encouraging (or even just interesting).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1766952/

https://www.karger.com/Article/Abstract/58920

Interestingly there is gradually an increased understanding in the surgeons views that "leave it till the last minute before operation - risk analysis only" is changing more to proactive "a stitch in time saves nine"

Best Wishes
 

Gail in Ca

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Almost 6 months ago, I had my bi-annual cardiologist appointment. My former cardiologist left Ca and went to Jackson, WY. So, he recommended the one I see now.
My echo stated my repaired mitral (2009) is now leaking severely. My doc said it is probably leaking worse than the echo suggests. He said that repairs generally don't last forever, and when I asked about a valve replacement, his preference is to repair again because the mitral valve tends to throw clots more than the aortic. He is interested in the clip through the groin, but he said it would be a long time before it is available. So, I will wait, live my life, walk my dog, and just rest when i feel a bit out of breath. I have always felt that the mitral leakage really affects my aerobic activity when it is leaking mod- severe.
I may see my surgeon again at Stanford, and just get his opinion on it, since he did the repair.
 

vitdoc

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I had 3 open hearts for bisupid aortic valve issues and an ascending aortic aneurysm. 10 years after my last surgery I developed sudden decompensation from mitral insufficiency which had been monitored for years. I spoke with several of the most experienced mitral surgeons in the US. Nobody was eager to operate on me due to potential technical issues with scarring after multiple surgeries. I also had found out about the mitral clip. I ultimately had this done through the femoral artery in 2016. It was a miracle. My sudden heart failure was resolved and went back to bike riding 100 miles a week. The cardiologist who placed it was Dr Sabil Kar who was at Cedars Sinai in Los Angeles. At that time he was the most experienced mitral clip physician in the US. He just left Cedars. Open heart surgery is no fun and has risk. You want to minimize your potential need for reoperation. Check out the clip. I had my first valve surgery at Stanford with Norm Shumway in 1977.
 

lost_kiwi

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here's the latest i've seen on the mitraclip:

in 2015 i was considering the coapt trial (cariologist was flogging it): severe functional regurg...long story... but since it was a trial and i could be getting cut w.o. a clip, i passed (both el camino and stanford). still doing fine 4 years later .. back in N.Z.; out of the asylum even though it was caifornia, there's wind drift ;-) in N.Z. walking/climbing hills, 5-6 miles/day, 3-4 days a week. no plans for a clip, but afaik it's still an option .. if they can catch me ;-)
 

AnnieP

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Feb 14, 2017
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I have noticed increased SOB last 12 months and ai
here's the latest i've seen on the mitraclip:

in 2015 i was considering the coapt trial (cariologist was flogging it): severe functional regurg...long story... but since it was a trial and i could be getting cut w.o. a clip, i passed (both el camino and stanford). still doing fine 4 years later .. back in N.Z.; out of the asylum even though it was caifornia, there's wind drift ;-) in N.Z. walking/climbing hills, 5-6 miles/day, 3-4 days a week. no plans for a clip, but afaik it's still an option .. if they can catch me ;-)
Good stuff! I’m also in N Z. My surgeon has retired Cheek of it !
Have you heard of any good surgeons in N Z my mosaic porcine valve will need replacement in the next 5 or so years it’s been going strong for 10 years.
 

lost_kiwi

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Apr 24, 2016
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Good stuff! I’m also in N Z. My surgeon has retired Cheek of it !
Have you heard of any good surgeons in N Z my mosaic porcine valve will need replacement in the next 5 or so years it’s been going strong for 10 years.
hiya,

first i'm not a kiwi, just lost! but wife and i are up for adoption, though ;-) we're house sitting for a friend in titahi bay. she had to go to france and we said "sure!! we'll house-sit for two months. we'll even pay YOU! " ;-)

re mitaclip. afaik it's only a repair option for those who are too compromised to be opened; that's moi: 2 cabg --30 yr and 10yrs. my valve is askew because of a hospital screw-up that resulted in the first cabg and so does not close properly. long story ...

that's all i know... but there's always dr. google or the specialist, dr. u. tube '-)
john
 

Consuela

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Oct 7, 2005
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Location
New York
Almost 6 months ago, I had my bi-annual cardiologist appointment. My former cardiologist left Ca and went to Jackson, WY. So, he recommended the one I see now.
My echo stated my repaired mitral (2009) is now leaking severely. My doc said it is probably leaking worse than the echo suggests. He said that repairs generally don't last forever, and when I asked about a valve replacement, his preference is to repair again because the mitral valve tends to throw clots more than the aortic. He is interested in the clip through the groin, but he said it would be a long time before it is available. So, I will wait, live my life, walk my dog, and just rest when i feel a bit out of breath. I have always felt that the mitral leakage really affects my aerobic activity when it is leaking mod- severe.
I may see my surgeon again at Stanford, and just get his opinion on it, since he did the repair.
You should see another doctor. Get a mitral valve replacement. I was told it can last a good 30 years. I don't think it is a good idea to just wait. Good luck to you.
 

sylviayasgur

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Sep 1, 2001
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Westchester, NY
Hi Gail, I did some through investigating on the MITRACLIP two summers ago for my 85 year old dad in NY. We found two surgeons who specialize in it and have already done a big number of these. Dr. Tang at Mt Sinai and Dr. Chau at Montefiore. Joey's cardiologist has several patients who had it done at Montefiore with good results. Just FYI. My dad, unfortunately, was not a candidate for it.
 
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