{"id":24065,"date":"2018-01-18T13:34:29","date_gmt":"2018-01-18T18:34:29","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/?p=24065"},"modified":"2025-05-13T12:28:07","modified_gmt":"2025-05-13T17:28:07","slug":"mitral-re-repair-david-adams-md","status":"publish","type":"post","link":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2018\/01\/18\/mitral-re-repair-david-adams-md\/","title":{"rendered":"&#8220;Is Mitral Valve Re-Repair Possible?&#8221; asks Jeanie"},"content":{"rendered":"<p>The possibility of heart valve &#8220;re-operations&#8221; is known within our community. As patients, we hope that only one valve procedure is needed during our lifetime. However, the reality is that patients may need one or more re-operations.<\/p>\n<p>Specific to this topic&#8230; Jeanie recently asked me, \u201cHi, Adam. I&#8217;m 63 years old. I just had mitral valve repair surgery performed in April of 2017. Now, a few months later, I have <a href=\"https:\/\/www.heart-valve-surgery.com\/mitral-valve-regurgitation-symptoms-leaking.php\">moderate to severe leakage<\/a> again. Can this be re-repaired or do I need to have it replaced?\u201d<\/p>\n<p>To answer Jeanie&#8217;s question, I was very lucky to interview <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-David-Adams-New+York-New%20York.php\">Dr. David Adams<\/a> who is the Cardiac Surgeon-in-Chief of the Mount Sinai Health System in New York. If you didn&#8217;t know, Dr. Adams is a mitral valve guru who started the Mitral Conclave Conference and co-wrote the book, Carpentier&#8217;s Reconstructive Valve Surgery. In addition, Dr. Adams has successfully treated over 100 patients in our community including <a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2015\/07\/18\/sophie-marsh-barlows-syndrome\/\">Sophie Marsh<\/a>, <a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2015\/07\/15\/brian-walsh-runner-success-story\/\">Brian Walsh<\/a> and so many others.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/b1lG5_0RNWM?showinfo=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<p><!--more-->Many thanks to Jeanie for her question and a special thanks to Dr. Adams for sharing all of his research and experience with our community!<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-David-Adams-New+York-New%20York.php\">See Dr. Adams Interactive Surgeon Profile<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/mitral-valve-re-repairs-outcomes\/\">Surgeon Q&amp;A: Mitral Valve Re-Repair Outcomes<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. For the hearing impaired members of our community, I have provided a written transcript of this video below.<\/p>\n<p>Adam Pick: Hi, everybody. It&#8217;s Adam. We are at the Heart Valve Summit in Chicago, Illinois. I am thrilled to be here with Dr. David Adams, who&#8217;s the co-director of the Heart Valve Summit. He&#8217;s also the cardiac surgeon and chief of the Mount Sinai Health System in New York. Dr. Adams, it&#8217;s a pleasure to see you again. Thanks for being here.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/profileImages\/45_129_181.jpg\" width=\"129\" height=\"181\" \/>Dr. David Adams<\/p>\n<p>&nbsp;<\/p>\n<p>Dr. David Adams: Great seeing you, Adam.<\/p>\n<p>Adam Pick: As you know, we&#8217;re answering questions that came in from the patient community at HeartValveSurgery.com and on our Facebook page. Got a question from Jeanie Frump and she asks, \u201cHi, Adam. I&#8217;m 63 years old. I just had mitral valve repair surgery performed in April of 2017. Now, a few months later, I have moderate to severe leakage again. Can this be re-repaired or do I need to have it replaced?\u201d<\/p>\n<p>David Adams: Adam, we&#8217;ve been very interested in following mitral valve repair patients, and have actually published different papers and opinions about failure of mitral valve repair. What Jeanie&#8217;s facing is an early failure. It&#8217;s important, first, to know what the original operation was before, because there are lots of different diseases that can cause mitral valve regurgitation. Let&#8217;s presume it was prolapse, the most common disease in early failure; almost always is re-repairable.<\/p>\n<p>The first thing I would tell a patient is to relax and take a deep breath because it&#8217;s possible that you will be able to be followed with that. It&#8217;s not the result you want, but we see lots of patients from around the country that have had failed valve repairs. First thing we do is do a workup to make sure that it&#8217;s time to re-intervene. Oftentimes, we will get to know patients and follow them, see them early before we make a decision about re-operation. At the time of re-operation, what we&#8217;re looking for is a mobile anterior leaflet. As long as the anterior leaflet is mobile \u2013 in our center, we almost always do valve re-repair, but we have a very specific interest in valve re-repair and published and presented large series about re-repair. I think that \u2013 you know, your mitral valves are living piece of tissue. Whenever it&#8217;s possible to preserve it, including in a failed repair setting, it&#8217;s a good idea to go find someone that can do that.<\/p>\n<p>Adam Pick: Finding someone, Dr. Adams \u2013 I&#8217;m sure Jeanie and other patients who have this issue. I understand that re-operations \u2013 heart surgery&#8217;s tricky to begin with, but when you&#8217;re doing a re-op for a valve is it more difficult and more challenging? If so, what should patients do about that?<\/p>\n<p>Dr. David Adams: Re-operations present some new technical challenges. Fortunately, cardiac surgery is a field that the re-operative part of that has gotten much safer in the last decade. In terms of valve re-repair, this requires a lot of experience. I would tell patients that may require a re-operation to make sure that you&#8217;re with a surgeon in a center that has done mitral valve re-repair because this is a super specialty. All valve repair is a specialty, but mitral valve re-repair is honestly a super specialty. I think, depending on your pathology and anatomy, if you are a re-repair candidate, that&#8217;s what you should have.<\/p>\n<p>Adam Pick: Dr. Adams, thank you for everything that you&#8217;re doing to advance valvular therapy, specifically mitral valve, all the great work that you&#8217;re doing here with these clinicians. Getting them together to learn from each other and just get our patients doing well again. Thank you for everything you&#8217;ve done over the years. It&#8217;s an honor to have you here.<\/p>\n<p>Dr. David Adams: Thanks, Adam.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":24069,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[27],"tags":[],"class_list":["post-24065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mitral-valve-repair"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/24065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/comments?post=24065"}],"version-history":[{"count":2,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/24065\/revisions"}],"predecessor-version":[{"id":41233,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/24065\/revisions\/41233"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media\/24069"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media?parent=24065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/categories?post=24065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/tags?post=24065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}