Understanding Mitral Valve Surgery
Minimally Invasive & Open Heart
The mitral valve is crucial for maintaining proper blood flow between the left atrium and ventricle of the heart. When this valve becomes diseased — leading to conditions like mitral valve regurgitation or mitral valve stenosis — surgical intervention may be necessary to repair or replace the valve.
Approaches
Mini-Thoracotomy
A 4-6 cm incision between the 2nd and 3rd ribs without touching the chest bone.
Favoured by patients for its minimal invasiveness.
Totally Endoscopic Surgery
Performed through a tiny incision (3-5 cm) between the ribs, without cutting or mobilising any bone.
Utilises an endoscopic camera for enhanced precision.
Full Sternotomy
Involves a vertical incision along the chest to open the chest bone.
Provides the surgeon with a direct and unobstructed view of the heart and mitral valve.
Allows for comprehensive treatment of complex heart conditions that may not be suitable for minimally invasive techniques.
Conditions Treated
Surgery is recommended for patients with:
Minimally Invasive
- Mitral Valve Regurgitation
- Mitral Valve Stenosis
Open Heart
- Mitral Valve Regurgitation
- Mitral Valve Stenosis
- Complex Mitral Valve Disease with Multiple Co-Existing Diseases
What to expect
Before Surgery
Minimally Invasive & Open Heart
- Thorough assessment including medical history, physical examination, and advanced imaging (e.g., echocardiogram, CT scan).
- Consultation with (Adj) Professor Theo Kofidis to explore minimally invasive & open heart options, their potential benefits & risks, and if patient qualifies for minimally invasive surgery.
During Surgery
Minimally Invasive
- General anaesthesia is administered.
- Precise repair or replacement of the mitral valve through small incisions, minimising tissue trauma.
Open Heart
- General anaesthesia is administered.
- Mitral valve repair or replacement performed through open-heart surgery, which involves opening the chest cavity.
After Surgery
Minimally Invasive
- Usually 1 day in ICU & 3-4 days in general ward.
- Faster mobilisation and return to daily activities.
- Follow-up appointments to monitor healing progress and overall cardiac health.
Open Heart
- Usually 2 days in ICU & 5-7 days in general ward.
- Slower mobilisation while in recovery.
- Follow-up appointments to monitor healing progress and overall cardiac health.
Benefits
Minimally Invasive
- Smaller Incisions
- Minimal Scarring
- Faster Mobilisation & Improved Recovery
- Less Infection
- Less Blood Loss
- Less Trauma
- Less Arrhythmia
- Better Lung function in the early stage
- Better Cosmetic Effect
Open Heart
Suitability in certain complex & high-risk cases
Contact Us
Are you ready to take the next step in your heart health journey? Our team at Theo Kofidis Cardiac Surgery is here to ensure a smooth and supportive experience from start to finish. Contact us to schedule an appointment or learn more about our services.
