Heart Valve Repair/Replacement

Heart valve repair or replacement is a critical procedure performed to address malfunctioning heart valves that impair blood flow through the heart. There are two main approaches:

✔ Valve Repair: Preserves your natural valve through reconstruction
✔ Valve Replacement: Substitutes damaged valve with prosthetic (mechanical or biological)

When is Valve Surgery Needed?

Common conditions requiring intervention:

  • Aortic stenosis (narrowed valve)

  • Mitral regurgitation (leaky valve)

  • Valve calcification (stiffened leaflets)

  • Congenital valve defects

Valve Repair vs. Replacement: Key Differences

RepairReplacement
ProcedureReshapes the existing valveImplants new valve
Best ForMitral/tricuspid valvesSevere aortic cases
RecoveryTypically fasterLonger adjustment
LifespanNatural valve durabilityMechanical: 20-30 yrs
Biological: 10-15 yrs

Surgical Approaches

  1. Open-Heart Surgery (Traditional)

    • Sternotomy incision

    • Heart-lung machine used

  2. Minimally Invasive

    • Smaller incisions (ribcage)

    • Faster recovery

  3. TAVI/TAVR (Transcatheter)

    • For aortic valves

    • No open surgery required

Prosthetic Valve Options

Mechanical Valves

  • Last decades

  • Require blood thinners

  • Audible clicking

Biological Valves

  • From animal/human tissue

  • No blood thinners

  • Limited lifespan

Recovery Timeline

  • Hospital Stay: 3-7 days

  • Full Recovery: 6-12 weeks

  • Activity Restrictions:

    • No driving for 2-4 weeks

    • No heavy lifting for 6 weeks

Life After Surgery

✅ Improved energy levels
✅ Reduced symptoms (breathlessness, swelling)
✅ Long-term survival benefits
⚠ Lifelong monitoring required

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Elham Looti Sharokh

Elham Looti Sharokh

Cardiologist

Dr. Elham Looti Sharokh is a highly accomplished cardiologist and associate professor, recognized for her exceptional expertise in interventional cardiology and commitment to advancing […]

Iran, Tehran
22 years of experience