Heart valve repair Heart valve repair Heart valve repair is a surgical technique used to fix defects in heart valves in valvular heart diseases, and provides an alternative to valve replacement. Without further specification, it refers to native heart valve repair, rather than repair of an artificial heart valve. Valvuloplasty is the widening of a stenotic valve using a balloon catheter. Types include: Commissurotomy of cardiac valves is called "valvulotomy". "Mitral valve repair" is mainly used to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve. Aortic valve repair is a surgical procedure used to correct some aortic valve disorders as an
Mitral valve stenosis in 3 stages. First, the distal portion (lying in the left ventricle) is inflated and pulled against the valve cusps. Second, the proximal portion is dilated, in order to fix the centre segment at the valve orifice. Finally, the central section is inflated, this should take no longer than 30 seconds, since full inflation obstructs the valve and causes congestion, leading to circulatory arrest and flash pulmonary edema. With careful patient pre-selection, percutaneous balloon mitral valvuloplasty (PBMV) is associated with good success rates and a low rate of complications. By far the most serious adverse event is the occurrence of