Adam’s Heart Valve Surgery Blog

The University of Michigan Cardiovascular Center just released a rather troubling study about patients who are  diagnosed with mitral regurgitation and do not receive surgical treatment. I guess this is one more reason why second opinions are so valuable. Here are the details:

Overblown fears about (i) surgical risk and (ii) lack of awareness about the risk of not operating are among the reasons only half of eligible patients were referred for mitral valve repair, according to a study by doctors at the University of Michigan Cardiovascular Center.

Mitral Valve Repair (Annuloplasty)

A leaking mitral valve, known as mitral regurgitation or mitral insufficiency, can lead to fatigue, abnormal heart rhythms with irregular heart beats, and congestive heart failure. The longer the leak continues, the more likely there will be permanent heart damage.

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I give A LOT of credit to patients and caregivers that really, really, really, really do their homework prior to heart valve replacement or heart valve repair surgery. I can immediately tell from the questions you ask me just how diligent you’re being at each phase of the surgical process.

Case in point… Duane Schlosser (55 years of age) from Austin, Texas just sent me two interesting questions about the Ross Procedure and minimally invasive pulmonary valve replacements that I thought you might benefit from. That said, here is what Duane writes:

Duane Schlosser - Heart Valve Replacement Patient

Adam,

Thank you for your heart valve surgery book. It has helped me come to grips with my own situation. I am scheduled for aortic valve replacement in September via the Ross Procedure. I have a two-part question for you.

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In the past, we have discussed the genetics of heart valve disease. (So you know… I, like my Great Uncle Mooney, suffered from a congenital bicuspid aortic valve which needed to be replaced.)

On the topic of heredity and heart valve disease, a new study was just published in the Journal of the American College of Cardiology which suggests that nearly a third of first-degree relatives (siblings, children or parents) of patients with a bicuspid aortic valve are likely to have enlarged aortas. This was found even in the absence of any abnormalities of the heart valve itself.

According to the study:

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Considering I’m fascinated with technology, it’s natural and logical that I would monitor the ongoing roll-out and clinical trials specific to the Sapien heart valve replacement device developed by Edwards Lifesciences.

The wonderful possibilities of this unique technology could help many, many, many aortic valve replacement patients in the future. The Sapien system (shown below) is less invasive and provides patients with a faster recovery.

Sapien Heart Valve Replacement Device

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