MItral Valve Repair

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vitdoc

Well-known member
Joined
Apr 16, 2017
Messages
65
Location
Southern Ca.
Mitral insufficiency is a peculiar problem. Often on echocardiography there may show significant leakage but clinically and on echo other parameters such as ventricular size may remain fairly stable for years. But when there are signs of deterioration then things to repair the problem should be done. One can surgically repair the valve or replace the valve or now possibly clip the valve. Then there is the decision of tissue vs mechanical. I was closely monitored for mitral insufficiency with echos every 6 to 12 months for years with only slow changes noted. Suddenly within a week I deteriorated severely. Going from biking 50 miles to marked shortness of breath going up a single flight of stairs.
I consulted with several top surgeons who both repaired and replaced. Basically repair was not thought to be likely since I already had had 3 open hearts for aortic valve and aneurysm repair. Doing something requiring another open heart should be as permanent as possible so no repair just replacement. But no one was feeling real warm and fuzzy about doing my surgery. They expected marked scarring which would make the surgery not fun.
I was aware of the mitral clip but I thought direct repair might be better.
I was on my way to one of the top mitral centers when I got a call from the head surgeon who surprised me and suggested I pursue getting the clip instead of surgery . I had already been evaluated for the clip and had told them I wanted surgery. But with the surgeon telling me to get the clip I went back to the clip cardiologist and luckily had the procedure done ASAP.
Spectacular results and a piece of cake from my perspective.
Returned to my previous level of fitness and went back on the bike.
I also had been for years been wrestling with AFib. Had three ablations with pretty good initial response for a few years but ultimately went into chronic A.Fib.
About two years after the clip my AFib spontaneously went away and I am in normal sinus rhythm. This maybe due to less strain on the left atrium from the decreased regurgitation . So for me the clip now in about 3 years has been fantastic. I am not sure right now what the specific criteria is for qualifying for the clip. Also it is technically challenging so a physician with a significant track record is important
 

SHARKY

Member
Joined
May 12, 2019
Messages
6
How long does a Mitral Val e repair last
I had the heart surgery JUNE/2015 and have been wondering ever since, kind of haunts me a little. that thing in my body, am i bionic now, like the TV million dollar man......LOL [i would think you bionic if there is anything inside that is man made, and just think everyday that does it matter, man made, god made? dont think so, god did make man, yes? so in that thinking, anything manmade is = to god made, right?
 

SHARKY

Member
Joined
May 12, 2019
Messages
6
Mitral insufficiency is a peculiar problem. Often on echocardiography there may show significant leakage but clinically and on echo other parameters such as ventricular size may remain fairly stable for years. But when there are signs of deterioration then things to repair the problem should be done. One can surgically repair the valve or replace the valve or now possibly clip the valve. Then there is the decision of tissue vs mechanical. I was closely monitored for mitral insufficiency with echos every 6 to 12 months for years with only slow changes noted. Suddenly within a week I deteriorated severely. Going from biking 50 miles to marked shortness of breath going up a single flight of stairs.
I consulted with several top surgeons who both repaired and replaced. Basically repair was not thought to be likely since I already had had 3 open hearts for aortic valve and aneurysm repair. Doing something requiring another open heart should be as permanent as possible so no repair just replacement. But no one was feeling real warm and fuzzy about doing my surgery. They expected marked scarring which would make the surgery not fun.
I was aware of the mitral clip but I thought direct repair might be better.
I was on my way to one of the top mitral centers when I got a call from the head surgeon who surprised me and suggested I pursue getting the clip instead of surgery . I had already been evaluated for the clip and had told them I wanted surgery. But with the surgeon telling me to get the clip I went back to the clip cardiologist and luckily had the procedure done ASAP.
Spectacular results and a piece of cake from my perspective.
Returned to my previous level of fitness and went back on the bike.
I also had been for years been wrestling with AFib. Had three ablations with pretty good initial response for a few years but ultimately went into chronic A.Fib.
About two years after the clip my AFib spontaneously went away and I am in normal sinus rhythm. This maybe due to less strain on the left atrium from the decreased regurgitation . So for me the clip now in about 3 years has been fantastic. I am not sure right now what the specific criteria is for qualifying for the clip. Also it is technically challenging so a physician with a significant track record is important
there is a bit you left out, when did you have the clip, must have been at least after 1998 or so, because that is when i got the band to try and fix my Mitral Valve, then just now in JUNE/2015 i am the proud owner of a St. Jude Mitral Valve. is there anyone that knows or a good idea how long for a St. Jude mitral valve, etc.?
 

vitdoc

Well-known member
Joined
Apr 16, 2017
Messages
65
Location
Southern Ca.
there is a bit you left out, when did you have the clip, must have been at least after 1998 or so, because that is when i got the band to try and fix my Mitral Valve, then just now in JUNE/2015 i am the proud owner of a St. Jude Mitral Valve. is there anyone that knows or a good idea how long for a St. Jude mitral valve, etc.?
I had my last open heart in 2006 for an aneurysm and I got the Mitral clip in June 2016.
 

sylviayasgur

VR.org Supporter
Joined
Sep 1, 2001
Messages
2,271
Location
Westchester, NY
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.
Dr.Gilbert Tang (Mt. Sinai Hospital, NYC) and Dr. Chau (Monterfiore Hospital, NY) are both successfully doing the Mitra-clip. I took my dad for a consult to both two years ago (they must be even more proficient today), but he was not a candidate for it as his heart is so enlarged, his mitral leaflets do not meet and therefore cannot be clipped together. He had a mitral repair done by Dr. Colvin in NYC about 10 years ago. Just FYI, it IS being done.
Be well and pls keep us posted.
 

CThrock

Well-known member
Joined
Jun 12, 2006
Messages
1,933
Location
Tucson Az.(warm country)
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.
Not true! clips are available I'm having one done I a few days. Going up through the groin. I was told that the clips will last a long time they grow into the layer or skin. The rings don't last but they're not doing rings anymore. Please be investigating before you make no true comments. I have seen three Surgeon's and all have said the same thing.
 

tommyv44

New member
Joined
Jan 27, 2018
Messages
2
Location
Florida
It's the best way to determine how severe the leakage is. The Echo is very misleading and I don't know how many people have undergone needless surgery. Look for a study by Dr Stephen Wolff. Google Dr Seth Uretsky too!

Tom
 

sylviayasgur

VR.org Supporter
Joined
Sep 1, 2001
Messages
2,271
Location
Westchester, NY
Not true! clips are available I'm having one done I a few days. Going up through the groin. I was told that the clips will last a long time they grow into the layer or skin. The rings don't last but they're not doing rings anymore. Please be investigating before you make no true comments. I have seen three Surgeon's and all have said the same thing.
My dad was looking into the Mitraclip because the ring they had used in precious surgery to repair his mitral valve had stretched along with his heart's increase in size. Ceased to do what it initially had put in to do.
 
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