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Full Spectrum of Mitral Valve Repair and Replacement

The Marcus Heart Valve Center at Piedmont Atlanta is proud to offer a full spectrum of mitral valve treatments. Based on your condition, anatomy, medical history and health status, our multidisciplinary heart team will customize a treatment plan to give you the best outcome with the lowest risk possible.
 

Understanding the Mitral Valve

The mitral valve is located between the upper and lower chambers of the left side of the heart. It is a key mechanism for the forward movement of blood in our bodies.  When the heart is between beats, the valve opens up and allows blood to move through to the left ventricle.  When the heart beats, the mitral valve closes so the blood does not go backward into the upper chamber, the left atrium.  Two of the most common mitral valve conditions are mitral stenosis, when blood cannot get through the narrowed valve to the left ventricle, and mitral regurgitation, where the valve leaks when the ventricle is contracting. This is sometimes caused by mitral valve prolapse. 
 

Mitral Regurgitation Treatment Options

Over time, a leaky valve can cause problems with heart function or symptoms.  With chronic severe mitral regurgitation, there will be a threshold where the heart will begin to enlarge. This means the regurgitation has done damage to the muscle. The key is to have the best treatment with minimal, if any, damage to the muscle.
 

"Mitral Valve Repair Expert Explains Treatment Options"
 

Surgical Mitral Valve Repair

Mitral valve repair is the gold standard treatment for severe mitral regurgitation. It offers elimination of mitral regurgitation without having the risk of complications with valve replacement. The ability of a surgeon to repair the mitral valve is dependent on their level of experience. It is important that patients search for a high volume center for which to have this surgery. Our heart valve surgeons have extensive experience in mitral valve repair.

Your cardiac surgeon can help determine which approach is right for you:

  • Minimally Invasive Mitral Valve Surgery: This has the benefit of traditional surgery with a small incision on the right side.
  • Traditional Surgery: Repair or replacement with open heart surgery. Heart Surgery Guide >
  • Research Trial: NeoChord mitral valve repair using a minimally invasive technique while the heart is beating.

"Research Trial: Off Pump Mitral Valve Repair with NeoChord"
CAUTION: Investigational Device Limited by Federal (United States) Law to Investigational Use

Percutaneous Mitral Valve Repair or Replacement

There are various reasons that a patient may be a high-risk candidate for surgery. The Marcus valve team is actively helping to develop innovative mitral valve interventions to improve symptoms for patients with complex conditions. These interventions are less invasive and allow for a quicker recovery than surgery.

  • MitraClip: A minimally invasive mitral valve repair in which your physician team will access the mitral valve with a thin catheter that is guided through a vein to reach your heart. MitraClip Patient Guide >
  • Research Trial: The APOLLO trial offers transcatheter mitral valve replacement with the Medtronic Intrepid TMVR system for patients with severe symptomatic mitral regurgitation. 

"MitraClip: A Minimally Invasive Treatment Option"


Mitral Stenosis Treatment Options

A faulty valve may need treatment with or without noticeable symptoms. Treatment options for mitral valve stenosis are determined by the cause and anatomical characteristics of the stenosis. The Marcus valve imaging team can review testing and order further imaging, if needed, to help the valve specialists determine the appropriate procedure.

  • Balloon Mitral Valvuloplasty: A percutaneous option for some mitral stenosis patients that may provide years of relief of symptoms. A balloon is advanced into the tight valve and is inflated to push the stiffened leaflets opened.
  • Surgical Mitral Valve Replacement
    • Minimally Invasive Surgery: This has the benefit of a valve replacement surgery with a small incision in the right side.
    • Traditional Surgery: Replacement with open heart surgery.
  • Research Trial: Percutaneous Transcatheter Mitral Valve Replacement (TMVR) is available to patients who fit the criteria.

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