A mitral commissurotomy is a surgical dissection of the commissures, which are the areas of abnormal connection of the mitral valve leaflets. As a result, the leaflets become separated, and the opening between the left atrium and ventricle is enlarged when they are opened. A mitral commissurotomy in Germany is performed to treat aortic stenosis.
- The essence of a mitral commissurotomy
- How is a mitral commissurotomy performed?
- Mitral commissurotomy results
The operation is performed through an incision in the chest, usually using open surgical techniques. During the operation, a doctor separates the heart valve leaflets to increase its area and usually removes the left atrial appendage to reduce the risk of developing blood clots.
You can seek medical attention at the University Hospital Essen, the University Hospital Ulm, or the University Hospital Frankfurt am Main.
The specialists at the Booking Health company will take care of all the arrangements for your trip abroad. We will contact the hospital administration and make an appointment for your preferred dates. We will also book airline tickets and a hotel room, meet you at the airport of another country, and take you to the hospital by car. You will be accompanied by an interpreter at the hospital, and a personal coordinator will help you with any questions that may arise.
The essence of a mitral commissurotomy
Mitral valve stenosis is a relatively uncommon heart condition caused primarily by rheumatic diseases. The area of the heart valve decreases, and blood can hardly pass from the left atrium to the ventricle. The defect is considered severe when the area is narrowed to 1.5 square centimeters.
Patients require surgical treatment to avoid the development of heart failure. One of the main operations for mitral valve stenosis treatment is a commissurotomy. This is an option for total mitral valve repair. The operation helps doctors increase the heart valve area, eliminate symptoms, and normalize hemodynamics.
How is a mitral commissurotomy performed?
The operation is performed under general anesthesia through an incision in the chest. A commissurotomy can be closed or open. In any type of operation, its essence lies in the dissection of the fused heart valve leaflets.
A closed mitral valve commissurotomy is less traumatic and requires a smaller incision. The operation can be performed without connecting a person to a heart-lung machine. Doctors perform it "blindly", but may use transesophageal ultrasound scanning, which improves the control of the operation.
A closed commissurotomy is used less and less frequently. Although it is less traumatic and reduces recovery time, there is also a risk of developing mitral valve insufficiency as a result of the surgical procedure.
In 90% of cases, cardiosurgery doctors perform an open commissurotomy. It provides better control and a lower risk of complications, and doctors can remove the left atrial appendage to prevent the formation of blood clots in this area.
Mitral commissurotomy results
An open commissurotomy has high success rates. Hemodynamics is completely normal. The results of the operation are preserved for 20-30 years or more. Only 5% of patients within 10 years of follow-up will require revision surgery for mitral valve disease.
You can seek medical attention at one of the cardiosurgery departments abroad and get good treatment results. You can find out the surgical treatment cost on the Booking Health website. On our website, you can find the best hospitals with cardiosurgery departments, compare prices at different clinics, and choose a medical care program at the best price. Our specialists will help arrange your trip.
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
National Center for Biotechnology
ECR - European Cardiology Review
American Heart Association