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Heart Valve Replacement and Heart Valve Repair Surgery

“What Is An Annuloplasty Ring?” Asks Regina

December 15th, 2009

I just received an interesting question from Regina about heart valve repair surgery. Her question focuses on the use of annuloplasty rings to treat leaky heart valves.

Regina writes, “Hi Adam – Although I’m 58, I was recently diagnosed with mitral regurgitation. My cardiologist thinks I may need surgery in the next year. The disease is categorized as moderate-to-severe. The cardiologist mentioned the potential use of an annuloplasty ring but did not explain why I might need one. Can you help me better understand the role of an annuloplasty ring? Thanks, Regina”

Annuloplasty Ring For Mitral Valve Repair
Annuloplasty Ring Used In Heart Valve Repair

As we have learned together, there are many different valvular disorders which negatively impact the flow of blood through the heart and body. Specific to Regina’s situation, her mitral valve leaflets are not sealing properly. Therefore, blood is flowing backward, also known as regurgitation.

Ultimately, this form of valvular disease forces the heart to work “overtime” which can lead to an enlarged heart and, in a worse case scenario, heart failure.

During some types of mitral valve repair, an annuloplasty ring is used to support the mitral annulus and maintain an appropriate diameter of the heart valve opening.

“Why?” you may be wondering.

Well… It makes sense that if the diameter of the valve opening is larger than the extent to which the valve leaflets close, this can be a serious risk to the patient due to heart valve leakage. The picture above shows an actual, annuloplasty ring implanted during a heart valve repair.

Annuloplasty Ring For Mitral Valve Repair
Annuloplasty Ring Sizing Process

As you would imagine, annuloplasty rings – like heart valve replacement devices – come in different sizes to best match the patient’s valve size. Several different companies manufacture annuloplasty rings including Edwards Lifesciences, ATS Medical and Medtronic.


Flexible Annuloplasty Ring (ATS Medical)

I hope this helps Regina (and perhaps you) learn a little more about annuloplasty rings.

Keep on tickin!

About The Author: Adam Pick is a double, heart valve surgery patient and author of The Patient's Guide To Heart Valve Surgery. This unique book integrates clinical research with the personal experiences of 135 former patients to help future patients and their caregivers better understand the problems, the opportunities and the realities of heart valve surgery. To learn more about Adam and his heart valve surgery book, click here.

8 Comments... Click here to add one.


Dan says on December 15th, 2009 at 2:31 pm

Please also note St Jude Medical also Manufactures Annuloplasty Rings — I have one and am very happy with it.

 


Helen says on December 15th, 2009 at 2:39 pm

I just had this done. Mine was the largest they had in stock at Duke in Durham, NC – 38MM!
I feel really good and have no problems with it. The only meds I am on is 81mg of aspirin. I am happy with the outcome. Go for it!

 


wendy says on December 15th, 2009 at 5:41 pm

I am also 58 and I had my mitral valve repaired with annuloplasty ring three weeks ago at St. Joseph’s Hospital in Syracuse, NY through a right-side mini-thoracotomy (just under the breast). I had a few tough days right after the surgery, but not nearly as bad as I expected. I had the most anxiety about choosing a surgeon. Once I made a decision about who and where to have it done, the anxiety eased up and the process took over. It was about two months between diagnosis of severe regurgitation and the surgery, and I am glad I didn’t put it off.
P.S. You’ll never know that ring is in there!!!!

 


Eric Desbonnet says on December 17th, 2009 at 11:08 pm

I had one 32 mm put in 10/21/09, so far no far problems. I feel better than I have in a long time.

 


Tony Baws says on May 6th, 2010 at 7:56 am

I just had an MRI scan on a ruptured thigh muscle cancelled because I could not provide exact details of my annuplasty ring from my mitral repair surgery carried out in 2004. The MRI people will need to pull up my hospital records and re-schedule my appointment ( I hope!). It is important to note the exact model and number of your annuplasty ring, so that you can provide this information at a letar date if required. Apparently there is some slight risk of bleeding with some annuplasty rings if you undergol an MRI scan – I never knew this until today.

 


lisa hitchens says on June 8th, 2011 at 10:30 am

hi ive just had this done 6 weeks ago at bristol royal infirmary and its great i had heart condition since i was new born and have had many operations but this has really imporved my life i no longer get breathless after 5 mins of normal walking on flat id advise pepole to have this over mechanical any day

 


nicole says on November 22nd, 2011 at 1:07 am

i got my ring at the age 33 am 36 now and am very happy with it 28mm thank u DR TIMOTHY LATHAM of royal columbian hsp .

 


sara girma says on November 29th, 2011 at 6:14 am

I am 25 and i had annuloplasty ring surgery to the mitral valve.I also have irregular heart bit and heart failure so is the surgery always sucesses full does it need repair or once you done the surgery it is finshed you are heal i need explanation please help me
Sara

 

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