Leaking Heart Valve Symptoms, Causes & Problems

By Adam Pick - Patient, Author & HeartValveSurgery.com Founder

As I personally learned when I was diagnosed with a leaky aortic valve, several different heart valve diseases, infections and disorders can lead to patient symptoms including shortness of breath and chest pain.

Patients should know that the main cause of a 'leaking heart valve' results from an abnormal anatomical structure that enables blood to flow, or leak, in the wrong direction. The medical term for this is valvular regurgitation.

To help you learn about leaking heart valves, I recently filmed this video with Dr. Kevin Accola, a leading cardiac surgeon at Florida Hospital Cardiovascular Institute, who specializes in valve therapy.



The diagram below shows how and why a leaking valve results from a condition known as mitral valve prolapse, the most common heart valve disorder.


Leaking Heart Valve


Regurgitation can negatively impact the flow of blood across each of your four heart valves - the aortic valve, the pulmonary valve, the mitral valve and the tricuspid valve. However, the most common forms of regurgitation are:

Often, the anatomical issue which causes a leaky heart valve is related to the tissue leaflets (e.g. mitral leaflets) or the annulus (e.g. mitral annulus) of the valve. 


Symptoms & Asymptomatic Patients

The most common symptoms of leaking heart valves are:

  • Shortness of breath, especially with exertion or when you lie down
  • Fatigue, especially during times of increased activity
  • Cough, especially at night or when lying down
  • Heart palpitations — sensations of a rapid, fluttering heartbeat
  • Swollen feet or ankles
  • Heart murmur
  • Excessive urination
  • Chest pain (angina) or tightness
  • Feeling faint or fainting with exertion
  • Dizziness

However, it is critical to note that symptoms do not always appear, or manifest, simultaneously for a patient. Many patients can be asymptomatic even though they suffer from mild, moderate, or even severe heart valve disease.


Potential Problems With Leaking Heart Valves

Leaky heart valves force the cardiac muscle to "work harder" as the heart re-pumps blood through a valve. Over time, this can lead to an enlarged heart, also known as a dilated heart or cardiomegaly. The long-term effects of cardiomegaly are:

  • Fluid in the lungs
  • Abnormal heart rhythms
  • Edema
  • Blood clots
  • Congestive heart failure


My Personal Story With Leaky Valve Symptoms?

I had a severely leaking aortic valve when I learned that I needed heart valve replacement surgery. So you know, I only had one symptom which led me to seek medical help and surgical treatment. That said, I highly encourage you to visit your doctor if you are experiencing any of the symptoms identified above or you have been previously diagnosed with valvular regurgitation or a heart murmur.

So you know, some heart valve diseases can be identified by listening to your heart with a stethoscope. This is usually the first step in diagnosing heart valve disease or a potential leak in the valve.

Adam Pick
Written by Adam Pick

Adam Pick is a patient, author of The Patient's Guide To Heart Valve Surgery and the founder of HeartValveSurgery.com.

To learn how Adam has helped millions of people with heart valve disease, watch Adam's video, subscribe to his free newsletter, or visit his Facebook, or Twitter pages.

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