{"id":4365,"date":"2024-05-04T16:05:15","date_gmt":"2024-05-04T16:05:15","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=4365"},"modified":"2024-05-07T11:38:37","modified_gmt":"2024-05-07T11:38:37","slug":"robotic-mitral-re-repair","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/robotic-mitral-re-repair\/","title":{"rendered":"Doctor Q&#038;A: Can a Robot Re-Repair a Failing Mitral Valve Repair?"},"content":{"rendered":"<p>The gold standard for treating mitral insufficiency is mitral valve repair. While many repairs will last during the patient&#8217;s lifetime, a certain percentage fail over time. A 2019 <a href=\"https:\/\/www.mdpi.com\/2077-0383\/8\/4\/526\">Journal of Clinical Medicine<\/a> study reported the recurrence of mitral valve regurgitation after repair as 5% at five years and an average of 9.6% at ten years. Mitral valve regurgitation, a leaky heart valve, is evidence of repair failure.<\/p>\n<p>There are different options for repairing a mitral valve, including a surgical incision through the sternum, minimally invasive robotic repair, and a transcatheter approach, each with its own benefits and risks. But, are these therapeutic approaches appropriate for mitral valve re-repair?<\/p>\n<p>We received a patient question on this subject from Cindy, who wrote, \u201cMy open-heart mitral valve repair from seven years ago is failing. Can a robotic mitral valve surgery be used to re-repair a mitral valve?\u201d During a recent visit to her office, I asked <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Joanna-Chikwe-Los+Angeles-California.php\">Dr. Joanna Chikwe<\/a>, Founding Chair of Cardiac Surgery at <a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/cedars-sinai-heart-institute\">Cedar-Sinai Medical Center<\/a> her expert opinion on Cindy\u2019s question.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/m7j_1qUVyH0?rel=0?si=d2kKtHYCo8VEYMMf\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings About Robotic Surgery For Mitral Valve Re-Repair<\/h2>\n<p>Here are four important insights from Dr. Chikwe about mitral valve re-operations using a robot:<\/p>\n<ul>\n<li>It\u2019s important to consider the details of the current repair. \u201cLet\u2019s talk about re-repair first,\u201d said Dr. Chikwe. \u201cThe ability to re-repair your valve in a way that\u2019s going to last you a lifetime completely depends on how the repair was done the first time around and why it\u2019s failed.\u201d<\/li>\n<li>Depending on the defect of the failing mitral valve repair, a mitral valve replacement may be the patient&#8217;s best option. According to Dr. Chikwe, there could be a 50\/50 chance the valve will need to be replaced rather than repaired with an animal tissue valve (a <a href=\"https:\/\/www.heart-valve-surgery.com\/cow-valve-replacement.php\">cow valve<\/a> or a <a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/pig-valve-replacement\/\">pig valve<\/a>) or a mechanical valve.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-4378 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/mitral-valve-replacements-pig-cow.jpg\" alt=\"Mitral Valve Replacements\" width=\"650\" height=\"358\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Determine the safest re-repair approach. \u201cCan we do it robotically? That completely depends on what other surgery was done,\u201d said Dr. Chikwe. \u201c Generally, our approach is not to do mitral re-repairs robotically for a number of technical reasons. We think the safest option is just to go through a small incision in the middle of the chest.\u201d<\/li>\n<li>Robotic mitral clip re-repair success. \u201cI think where a robot is great in a second-time surgery setting is if the first-time surgery was a clip,\u201d Dr. Chikwe said. \u201cWe actually have very good experience at re-repairing failed mitral clips robotically, and then if the valve wasn\u2019t touched and the surgery was something else. We\u2019ve done a number of robotic and hybrid approaches for patients who\u2019ve had previous aortic or bypass surgery that now need a mitral repair.\u201d<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<h1>Thank you, Dr. Chikwe and Cedar-Sinai Medical Center!<\/h1>\n<p>On behalf of Cindy and the entire HeartValveSurgery.com community, thank you, <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Joanna-Chikwe-Los+Angeles-California.php\">Dr. Chikwe<\/a>, for your expert insight into robotic surgery for mitral valve re-opearations. We\u2019d also like to thank the team at Cedar-Sinai Medical Center for taking great care of our heart valve patients!<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/patient-recovery-expectations\/\">Patient Story: Leila Gets Robotic Mitral Valve Repair\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/videos\/robot\">Robotic Mitral Valve Surgery Explained by Dr. Joanna Chikwe<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/mitral-valve-repair-gold-standard\/\">Surgical Mitral Valve Repair: The \u201cGold Standard\u201d for Mitral Regurgitation<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. For the deaf and hard-of-hearing members of our patient community, I have provided a written transcript of this interview below.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"cms.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[13],"class_list":["post-4365","page","type-page","status-publish","hentry","category-mitral-valve-repair"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/4365","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/comments?post=4365"}],"version-history":[{"count":11,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/4365\/revisions"}],"predecessor-version":[{"id":4393,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/4365\/revisions\/4393"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=4365"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=4365"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}