Surgeon Q&A: “How Durable Is A Heart Valve Repair Ring?” asks Diane

By Adam Pick on October 20, 2015

During our recent “Ask Me Anything” video series, I received a great question from Diane McKee. In her email, Diane writes, “I had a mitral valve repair 20 years ago. Is the heart valve repair ring going to last a life span?”

To answer Diane’s question about annuoloplasty ring durability, I met with Dr. Steven Bolling, who is the Director of the Mitral Valve Clinic at the University of Michigan in Ann Arbor. Here is Dr. Bolling’s response:

 

 

I hope that helped Diane (and perhaps you) learn more about the durability of the annuloplasty rings that are used to repair mitral valves. Thanks to Diane for her question and a special thanks to Dr. Steven Bolling for sharing his clinical experience and research with our patient community.

Keep on tickin!
Adam

P.S. For the hearing impaired members of our community, I posted the transcript of this interview below:

Adam: Hi everybody, it’s Adam with heartvalvesurgery.com. We’re at the Heart Valve Summit and we’re answering your questions that you submitted to Facebook. Today I’m thrilled to be with Dr. Steve Bolling from the University of Michigan. Steve thanks for being here.

Dr. Steve Bolling: Hi Adam. Thanks.

Adam: We’re answering Diane McKee’s question. She says, I had a mitral valve repair 20 years ago, is the annuloplasty ring going to last a life span?

Dr. Steve Bolling: Diane, that’s a good question. It’s already lasted a long time and it will probably last you forever. Remember to take your antibiotic when you go to the dentist because your chance of having that breakdown or anything go bad is probably related to some kind of delayed infection, so take your antibiotics. I would say that thing will last a lot longer than you will. You’ve had a great result. Have a nice, nice long life. You probably will die from something, but not from your mitral valve disease.

Adam: Great. Steve maybe you can tell – Dr. Bolling, maybe you can explain for them what is the ring made of? Why is it so durable inside the heart?

Dr. Steve Bolling: It is made of silicone and some have metal in them but what makes them so durable is all the rings of wrap and cloth called Dacron or some type of porous cloth that the heart actually grows in. Within 30-60 days that becomes part of you. It is you. It is not different. The body doesn’t see it as something different, it’s just you.

Adam:  Dr. Bolling, thanks for all of your incredible help at the University of Michigan. As we always say here, keep on ticking.

Dr. Steve Boling: Thanks, Adam.


Written by Adam Pick
- Patient & Website Founder

Adam Pick is a heart valve patient and author of The Patient's Guide To Heart Valve Surgery. In 2006, Adam founded HeartValveSurgery.com to educate and empower patients. This award-winning website has helped over 10 million people fight heart valve disease. Adam has been featured by the American Heart Association and Medical News Today.

Adam Pick is a heart valve patient and author of The Patient's Guide To Heart Valve Surgery. In 2006, Adam founded HeartValveSurgery.com to educate and empower patients. This award-winning website has helped over 10 million people fight heart valve disease. Adam has been featured by the American Heart Association and Medical News Today.


Michael Bowes says on October 20th, 2015 at 11:50 pm

Interesting.. I never actually thought of this going bad. =) I’m an 11 time heart surgery survivor, I had my valves installed in 1992 and 1999.. they’re still tickin! =) Thanks for the video Adam. Good to know.



Jeff Coller says on October 23rd, 2015 at 4:59 pm

I had a mitral valve repair with a ring. My cardiologist said that antibiotics for a dental procedure are no longer necessary. My Dentist agrees. The American Heart Association says that antibiotics “prevent exceedingly small numbers of
endocarditis,” concluding that there is more risk of adverse reactions than reward to taking them. I may be interpreting things incorrectly, so I’m wondering why Dr. Boling believes prophylaxis is warranted.



disqus_cGyaKD1sHO says on October 28th, 2015 at 9:16 am

I also had Mitral Valve Repair with Annuloplasty Ring i waited 1 yr after operation to have my Teeth cleaned so the Valve had time to Heal over as my Oral Health is quite good and took Antibiotics .
Most Surgeons in the UK, Europe and the US would agree that if you have a Annuloplasty Ring in Mitral Valve Repair you SHOULD have Antibiotics Cover before Certain Dental Procedures due to the Germs in the mouth which can be transfered into the blood.The following Link explains who is at risk and does need Antibiotics
http://www.uptodate.com/contents/antibiotics-before-procedures-beyond-the-basics?source=search_result&search=antibiotics+dental+procedures&selectedTitle=4~150
(which was updated 21 Juy 2015)
Also the The American Heart Association has similar advice on who needs Antibiotic cover.
http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/TheImpactofCongenitalHeartDefects/Infective-Endocarditis_UCM_307108_Article.jsp#.VjDMECskvZ4

NICE in the UK has its own information and their advisers, that make the Guidelines, BTW….. who are not medically trained, recently updated their advice as they noted an increase of IE….. but still, strangely, NICE have not changed their Original advice against taking Antiboitics before certain Dental procedures after there recent review in September 2015.
The Surgeons are in the front line of Surgery and see the patients with
Infective endocarditis (IE) This is why i presume Professor Steven Bolling is advising TO TAKE Antibiotics and prophylaxis cover is warranted. So this is why i WOULD follow the advice of a Heart Surgeon as i have many emails from Heart surgeons,
including my UK heart Surgeon, who all advice TO TAKE Antibiotics if you have an Annuloplasty Ring In Mitral repair for Teeth Cleaning Scale Polish or extractions.Better safe than sorry.
Dentist and Doctors in the UK, follow NICE Guidelines and DON’T give out antibiotics for Dental Procedures so you need to contact your Surgeon so they can contact your Doctor to get Antibiotic Cover.
You don’t want to be in one of those exceedingly small numbers of who get
endocarditis. .


Leave a Reply

Adam's Newest Blogs

Adam's Newest Posts

Technology Update: SternaLock Blu May Bring Faster Healing & Less Pain to Heart Surgery Patients Learn More.

MitraClip Gets New $37 Million Plant in Indiana Learn More.

Newest Community Post

Robert says, "I had a discussion with my new dentist"
Read more

Justin says, "I had Cardiac Cath on November 1st, just"
Read more

Ana says, "How is anyone that had OHS done with the"
Read more

Find Heart Valve Surgeons

Search 1,500 patient-recommended surgeons