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Cardiosurgery: Mitral valve insufficiency (prolapse) — Prosthetic (replacement) of mitral valve (minimally invasive). Treatment

Mitral valve prolapse (MVP) is a common abnormality of the heart structure. According to statistics, this defect is found in 3% of the world population, but more than a third of all people with this anomaly feel almost healthy. The essence of the MVP is insufficient closing of flaps of the butterfly valve, and thereby the blood is partially thrown from the left ventricle into the left atrium. 

The most common MVP is a congenital condition caused by a genetic predisposition, or intrauterine effect of adverse factors (infections, toxins, metabolic disorders). In some cases, the prolapse is formed after birth as a result of myocardial infarction, systemic and rheumatic diseases, vascular dystonia, myocardial toxicity, and endocrine disorders. 

MVP Conservative Treatment 

Asymptomatic disease requires no treatment, but in most cases, upon detection of mitral valve prolapse, the patient is recommended to normalize his lifestyle with adequate alternation of work and rest, dosed exercises and toning activities. 

If the prolapse degree is expressed sufficiently, there appear unpleasant symptoms in the form of autonomic manifestations, sensations of disruptions in the heart work, headaches, susceptibility to colds, and reduced exercise tolerance. In this case, to improve the well-being and maintain the cardiac function, the patient is prescribed: 

  • vasodilators;
  • cardiac glycosides;
  • diuretics;
  • antiarrhythmics;
  • metabolic drugs improving the heart function;
  • antithrombotic drugs;
  • physiotherapy: massage, water therapy, psychotherapy and relaxation techniques.

Surgical Treatment

MVP requires surgical correction upon severe cardiac decompensation and progression of valve insufficiency. The surgical method is selected according to the severity of hemodynamic disturbances and condition of the valve.

  • Mitral valve plastics by open access implies suturing of leaflets and correction of length and position of chords holding the leaflet. 
  • Minimally invasive surgery is a plastic reconstruction carried out by introduction of a special probe moved to the valve into a peripheral vein. The surgeon’s actions are visualized by X-ray methods.
  • The mitral valve replacement is indicated upon gross deformation of valve structures. The changed items are removed, and then a tissue or a mechanical prosthesis is implanted. 

Selection of appropriate treatment allows avoiding complications and ensuring a good quality of the patient’s life.

Read more
 

See also for mitral valve insufficiency (prolapse):

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #50045

The Department provides treanment for a whole spectrum of adult cardiac surgical diseases, with exception of the heart and lung transplantation.


location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #361506

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.


location_onCountry: Germany
location_searchingCity: Oldenburg

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #78149

According to the Focus magazine rating of 2017, the Department of Cardiothoracic Surgery at the University Hospital Cologne ranks among the top German departments specializing in cardiac surgery! There are performed over 2,800 operations every year.


location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificatecertificate

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Department of Adult and Pediatric Cardiovascular Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #383033

The Department of Adult and Pediatric Cardiovascular Surgery offers the full range of services in this medical focus. The department specializes in heart valves surgery, coronary artery bypass grafting, surgical treatment of cardiac arrhythmias and heart failure.


location_onCountry: Germany
location_searchingCity: Krefeld

University Hospital Muenster

9.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #139921

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.


location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #74735

According to the Focus magazine rating of 2017, the Department of Cardiac, Thoracic and Vascular Surgery ranks among the top German departments specializing in cardiac surgery! The department is a distinguished institution in this field of medicine.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #89859

The cardiac surgery department of the Hirslanden clinic Aarau was rebuilt since Prof. Dr. med. Thierry Carrel and PD Dr. med Lars Englberger worked here. Both of them are recognized cardiac experts. Prof. Carrel is the director at Inselspital and PD Dr.


location_onCountry: Switzerland
location_searchingCity: Aarau
certificatecertificate

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiac, Thoracic, Transplantation and Vascular Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #245215

The Department of Cardiac, Thoracic, Transplantation and Vascular Surgery at the Hannover Medical School is famous for being one of the leading medical facilities in the world.


location_onCountry: Germany
location_searchingCity: Hannover

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiac Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #327457

The Department of Cardiac Surgery at Rambam Health Care Campus specializes in performing open and closed heart operations. There is offered a broad spectrum of surgical heart procedures, while the most common of these are coronary artery bypass surgery, valvular heart surgery and a combination of the two.


location_onCountry: Israel
location_searchingCity: Haifa

University Hospital Essen

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #292044

The Department of Thoracic and Cardiovascular Surgery at the Essen University Hospital offers the full range of services in the treatment of heart diseases, requiring surgery, including transplant of chest organs, heart and lung support systems and aortic surgery.


location_onCountry: Germany
location_searchingCity: Essen

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #106291

The Department of Thoracic and Cardiovascular Surgery offers the entire spectrum of cardiothoracic surgery, including heart transplantation and the use of artificial heart systems. A special focus is on the development and the use of minimally invasive surgical techniques.


location_onCountry: Germany
location_searchingCity: Aachen
certificatecertificatecertificatecertificate

University Hospital Duesseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #82691

The Department of Cardiovascular Surgery at the University Hospital Dusseldorf provides the whole range of cardiovascular medicine at the university level. The Department has a long and successful history. Since 1938 more than 50,000 cadiac surgeries were performed here.


location_onCountry: Germany
location_searchingCity: Duesseldorf
certificatecertificatecertificatecertificate

University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #137439

The range of surgical services of the Department of Thoracic and Cardiovascular Surgery at the University Hospital Tubingen covers all surgical and interventional operations in the corresponding fields up to the transplant surgery.


location_onCountry: Germany
location_searchingCity: Tuebingen
certificatecertificate

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #88301

The Department of Cardiac Surgery offers the complete spectrum of cardiac surgery services except heart transplantation.


location_onCountry: Germany
location_searchingCity: Bonn
certificatecertificatecertificate

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiac Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #154651

Performing annually more than 1000 surgeries on the heart, the department of cardiac surgery belongs to the largest centers of cardiac surgery in Munich. Here, the whole range of cardiovascular diseases is treated in adult patients, from emergency cases to heart attack.


location_onCountry: Germany
location_searchingCity: Munich

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiac Surgery

Surgical treatment of mitral valve insufficiency with prosthetic (replacement) of mitral valve (minimally invasive) #255307

The Department of Сardiac Surgery at the University Hospital Erlangen specializes in the surgical treatment of end-stage heart failure, treatment with the use of mechanical hemodynamic support systems and heart transplant. The Department annually performs about 1,600 operations on heart and adjacent vessels.


location_onCountry: Germany
location_searchingCity: Erlangen
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