Options for Heart 瓣膜置换

Illustration of Valves of the Heart

瓣膜置换

The aortic valve and the mitral valve are the most commonly replaced valves. Pulmonary and tricuspid valve replacements are fairly uncommon in adults.

Replacing a narrowed valve:

The most common surgical procedure for 主动脉瓣狭窄, or narrowing of the aortic valve, is aortic valve replacement. 二尖瓣狭窄 is another condition that may require valve replacement or repair.

更换泄漏阀门:

主动脉瓣返流 (sometimes referred to as aortic insufficiency) is another common valve problem that may require valve replacement. Regurgitation means that the valve allows blood to return backward through the valve and into the heart instead of moving it forward and out to the body. 主动脉瓣返流 can eventually lead to heart failure.

二尖瓣返流 may also require a valve replacement. 在这种情况下, the mitral valve allows oxygenated blood to flow backward into the lungs instead of continuing through the heart as it should. People with this condition may experience shortness of breath, irregular heartbeats and chest pain.

Surgical options for valve replacement include:

  • 机械阀 — a long-lasting valve made of durable materials
  • 组织阀 (which may include human or animal donor tissue)
  • 罗斯过程 — “Borrowing” your healthy valve and moving it into the position of the damaged valve aortic valve and replacing the “borrowed” valve with a new valve.
  • 泰薇/ TAVR过程Transcatheter aortic valve implantation/transcatheter aortic valve replacement
  • 更新的手术选择

The procedure chosen will depend on the valve that needs replacement, the severity of symptoms and the risk of surgery. Some procedures may require long-term medication to guard against blood clots.

Options for 主动脉瓣狭窄 treatment chart 

*Age is not the only factor in making a decision on treatment. It is critical to talk to your care team to weigh the risks and benefits of each approach and take into account your values and preferences.

Download Aortic Stenosis: Considerations for Replacing Your Aortic Valve (PDF)

Pre-surgery Checklist English (PDF) | Pre-surgery Checklist Spanish (PDF) 
Recovery Milestones Checklist English (PDF) | Recovery Milestones Checklist Spanish (PDF) 

Video: 治疗方案 for Heart 瓣膜置换
Your Heart Surgery: Realization and Repair