Is mitral valve perforation serious?

summary

The incidence rate of heart valve disease is increasing year by year. Although the best time for valve surgery is still controversial, most experts believe that cardiac valve surgery should be performed before ventricular dilatation occurs, sometimes even before symptoms occur. Is mitral valve perforation serious? Let's talk about it

Is mitral valve perforation serious?

Percutaneous balloon valvuloplasty; It is suitable for simple mitral stenosis, moderate mitral stenosis, mitral orifice area 0.8-1.2cm2, no obvious regurgitation, no atrial fibrillation and thrombus; It is to send a catheter with balloon to the narrow valve orifice through the blood vessel, fill the balloon step by step, and expand the valve orifice. The advantage of this method is that the valve mouth can be expanded without surgery, but it is blind, so it is only suitable for patients with simple valve stenosis or valve damage is not serious, and there is no thrombus in the atrium.

Valve replacement is suitable for combined valve disease or mitral regurgitation; Valve calcification, funnel-shaped stenosis; Restenosis after mitral valve separation. For the treatment of valvular disease in patients with severe valve injury and no valvuloplasty, it is necessary to remove the original valve and replace the biological valve or mechanical valve.

Valvuloplasty, valvuloplasty is to repair the damaged valve, so that it can completely restore the function of switch. The operation is relatively difficult, but it has many benefits for patients. First of all, valve repair under direct vision can achieve the best repair effect; Secondly, the anticoagulation problem after valve replacement is avoided. This method is mainly suitable for stenosis or regurgitation with good valve shape, such as rupture of mitral chordae tendineae, enlargement of valve ring, valve fissure, etc.

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