Heart valve surgery success rate

Generally speaking, once heart valve disease is discovered, timely surgical treatment is required in clinical practice. However, heart valve surgery is a very risky operation. When you have surgery, it is best to choose a more professional hospital, which will be guaranteed. No matter what kind of surgery, there are certain risks. Many people are worried about the success rate of heart valve surgery. Generally speaking, what is the success rate of heart valve surgery?

Heart valve surgery success rate

The success rate of heart valve surgery depends on 90% of the condition and 10% on the medical team. The success rate of surgery by a professional medical team is over 97%. Heart valve surgery should be performed at the appropriate time based on the corresponding indications. If surgery is performed in the later stages of heart valve disease, the risk is relatively high. For example, in patients with severe valvular disease, a long history of disease, and severe myocardial remodeling, it is easy to have severe pulmonary hypertension. If a thrombus breaks off and causes infarction of important organs, the risk of surgery will increase. It is recommended to choose the appropriate time for surgery based on the patient's condition to reduce surgical risks.

Do I need to have surgery right away if I have heart valve disease?

Clinically, many patients with valvular heart disease are in the early stages and do not require immediate surgery after discovery. There are two types of heart valve surgery: repair and replacement. After heart valve replacement surgery, the patient's quality of life will be greatly affected. It is recommended that patients with mild valve disease be observed temporarily, or take drug treatment to postpone the surgery. Patients with valvular heart disease who meet surgical indications require surgical treatment.

Indications for surgery in valvular heart disease

Aortic valve stenosis, severe stenosis with impaired heart function or symptoms, other heart surgeries accompanied by moderate or above stenosis, mild stenosis but with evidence suggesting that the lesion will progress rapidly (such as moderate to severe valve calcification), should be actively treated with surgery! Aortic valve cross-sectional area 2-4cm2 Normal 0.8-1.2cm2 Surgical indications 0.8cm2 Severe stenosis. Aortic valve systolic pressure gradient <5mmHg>50mmHg, surgical indications can reach up to 100mmHg.

Aortic insufficiency

It can be asymptomatic for a long time (compensation period), but once symptoms appear (decompensation), surgery should be performed as soon as possible. Asymptomatic patients should also undergo active surgery if auxiliary examinations indicate decreased cardiac function or left ventricular enlargement. Aortic regurgitation, symptoms, heart enlargement, systemic systolic blood pressure >140mmHg, systemic diastolic blood pressure <40mmHg.

Tricuspid stenosis and/or regurgitation

Early surgery is the key to long-term survival after surgery when multiple valve diseases and acute diseases are present. Early valve surgery can greatly reduce surgical mortality and reduce complications year by year.

Methods for mitral valve and aortic valve replacement: mechanical valve replacement and biological valve replacement under general anesthesia and low-temperature extracorporeal circulation. Tricuspid valve is generally replaced by shaping, but replacement is also possible.