Heart valve repair

Surgical technique used to fix defects in heart valves

Heart valve repair
Specialty	cardiac surgery
ICD-9-CM	35.0-35.2
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Heart valve repair is a cardiac surgery procedure, carried out to repair one or more faulty heart valves. In some valvular heart diseases repair where possible is preferable to valve replacement. A mechanical heart valve is a replacement valve that is not itself subject to repair.

General

Valvuloplasty is the widening of a stenotic valve using a balloon catheter. Types include:^{[citation needed]}

Aortic valvuloplasty in repair of a stenotic aortic valve
Mitral valvuloplasty in the correction of an uncomplicated mitral

Valvulotomy

Commissurotomy of heart valves is called a valvulotomy.

By valve

Mitral valve repair

Mitral valve repair is mainly used to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve.^{[citation needed]}

Aortic valve repair

Aortic valve repair is a surgical procedure used to correct some aortic valve disorders as an alternative to aortic valve replacement.^[1] Aortic valve repair is performed less often and is more technically difficult than mitral valve repair. There are two surgical techniques of aortic-valve repair:

The Reimplantation-Technique (David-Procedure)
The Remodeling-Technique (Yacoub-Procedure)

Tricuspid valve repair

Tricuspid valve repair is used to correct tricuspid regurgitation.^[2]

History

The first two percutaneous ultrasound-guided fetal balloon valvuloplasties, a type of in utero surgery for severe aortic valve obstruction, were reported in 1991.^[3]

References

^ Hans-Joachim Schäfers: Current treatment of aortic regurgitation. UNI-MED Science, Bremen, London, Boston 2013, ISBN 978-3-8374-1406-6.
^ Page 4 in:Elizabeth D Agabegi; Agabegi, Steven S. (2008). Step-Up to Medicine (Step-Up Series). Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 978-0-7817-7153-5.
^ Kohl, T.; Sharland, G.; Allan, L. D.; Gembruch, U.; Chaoui, R.; Lopes, L. M.; Zielinsky, P.; Huhta, J.; Silverman, N. H. (2000-05-15). "World experience of percutaneous ultrasound-guided balloon valvuloplasty in human fetuses with severe aortic valve obstruction". The American Journal of Cardiology. 85 (10): 1230–1233. doi:10.1016/s0002-9149(00)00733-5. ISSN 0002-9149. PMID 10802006.

Tests and procedures involving the heart

Surgery

Heart valves and septa	Valve repair Valvulotomy Mitral valve repair Valvuloplasty aortic mitral Valve replacement Aortic valve repair Aortic valve replacement Ross procedure Transcatheter Mitral valve replacement Transcatheter pulmonary valve replacement production of septal defect in heart enlargement of existing septal defect Atrial septostomy Balloon septostomy creation of septal defect in heart Blalock–Hanlon procedure shunt from heart chamber to blood vessel atrium to pulmonary artery Fontan procedure left ventricle to aorta Rastelli procedure right ventricle to pulmonary artery Sano shunt compound procedures for transposition of the great vessels Arterial switch operation Mustard procedure Senning procedure for univentricular defect Norwood procedure Kawashima procedure shunt from blood vessel to blood vessel systemic circulation to pulmonary artery shunt Blalock–Taussig shunt SVC to the right PA Glenn procedure
Cardiac vessels	CHD Angioplasty Bypass/Coronary artery bypass MIDCAB Off-pump CAB TECAB Coronary stent Bare-metal stent Drug-eluting stent Obstacle removal Endarterectomy Atherectomy Bentall procedure Valve-sparing aortic root replacement LeCompte maneuver
Other	Pericardium Pericardiocentesis Pericardial window Pericardiectomy Myocardium Cardiomyoplasty Dor procedure Septal myectomy Ventricular reduction Alcohol septal ablation Conduction system Maze procedure (Cox maze and minimaze) Catheter ablation Cryoablation Radiofrequency ablation Pacemaker insertion S-ICD implantation ICD implantation Cardiac resynchronization therapy Left atrial appendage occlusion Cardiotomy Heart transplantation