Choroba zastawek serca
Leczenie

Choroba zastawek serca charakteryzuje się dysfunkcją jednej lub więcej zastawek, prowadzącą do zaburzeń hemodynamicznych. Farmakoterapia, obejmująca diuretyki, beta-blokery, inhibitory ACE, leki przeciwzakrzepowe, antyarytmiczne oraz wazodylatatory, ma na celu łagodzenie objawów, redukcję obciążenia serca i zapobieganie powikłaniom, jednak nie zatrzymuje progresji choroby ani nie naprawia uszkodzeń zastawkowych. Leczenie farmakologiczne jest szczególnie istotne u pacjentów z łagodną lub umiarkowaną chorobą zastawkową oraz jako terapia pomostowa przed interwencją chirurgiczną lub u pacjentów niekwalifikujących się do zabiegów. W przypadku zaawansowanej choroby zastawkowej konieczne jest leczenie inwazyjne, obejmujące naprawę (np. annuloplastyka, valvuloplastyka, balonowa walwuloplastyka) lub wymianę zastawki (protezy biologiczne o trwałości 10-15 lat lub mechaniczne wymagające stałej antykoagulacji).

Choroba zastawek serca – leczenie farmakologiczne

Choroba zastawek serca to stan, w którym jedna lub więcej zastawek serca nie funkcjonuje prawidłowo, co prowadzi do zaburzeń przepływu krwi przez serce. Leczenie farmakologiczne stanowi ważny element terapii, choć samo w sobie nie jest w stanie naprawić uszkodzonej zastawki. Stosowanie leków ma na celu łagodzenie objawów, zmniejszenie obciążenia serca oraz zapobieganie powikłaniom.12

Należy podkreślić, że leki nie mogą zatrzymać progresji choroby zastawkowej ani naprawić strukturalnie uszkodzonej zastawki. Jak wskazują badania, obecnie nie ma farmakologicznej terapii, która opóźniałaby postęp choroby lub poprawiała rokowanie u pacjentów z przewlekłą chorobą zastawkową.34

Grupy leków stosowane w chorobie zastawek serca

W leczeniu farmakologicznym choroby zastawek serca stosuje się kilka grup leków, których wybór zależy od typu i nasilenia choroby zastawkowej oraz współistniejących objawów:56

  • Diuretyki (leki moczopędne) – pomagają zmniejszyć obrzęki i gromadzenie się płynów w organizmie, redukując obciążenie serca7
  • Beta-blokery – spowalniają rytm serca i obniżają ciśnienie tętnicze, co zmniejsza obciążenie serca89
  • Inhibitory ACE – obniżają ciśnienie tętnicze i chronią serce, zmniejszając jego obciążenie10
  • Leki przeciwzakrzepowe (antykoagulanty) – zapobiegają tworzeniu się skrzepów krwi, szczególnie ważne u pacjentów z mechanicznymi zastawkami serca1112
  • Leki antyarytmiczne – pomagają kontrolować zaburzenia rytmu serca, które mogą towarzyszyć chorobie zastawkowej13
  • Leki wazodylatacyjne – rozszerzają naczynia krwionośne, ułatwiając przepływ krwi i zmniejszając obciążenie serca14

Farmakoterapia jest szczególnie istotna w przypadku pacjentów z łagodną lub umiarkowaną chorobą zastawkową, u których nie ma jeszcze wskazań do interwencji chirurgicznej. Może być również stosowana jako leczenie pomostowe przed zabiegiem operacyjnym lub u pacjentów, którzy z różnych przyczyn nie kwalifikują się do leczenia zabiegowego.1516

Leczenie zabiegowe choroby zastawek serca

W przypadku zaawansowanej choroby zastawkowej lub pojawienia się objawów upośledzających jakość życia, leczenie zabiegowe staje się koniecznością. Współczesna medycyna oferuje różnorodne metody naprawy lub wymiany uszkodzonych zastawek, począwszy od klasycznych operacji kardiochirurgicznych, aż po małoinwazyjne zabiegi przezcewnikowe.1718

Naprawa zastawek serca

Naprawa zastawki jest preferowaną metodą leczenia, gdy jest to technicznie możliwe. Pozwala zachować własną tkankę pacjenta, co wiąże się z mniejszym ryzykiem powikłań i eliminuje konieczność przyjmowania leków przeciwzakrzepowych przez całe życie, jak ma to miejsce w przypadku mechanicznych protez zastawkowych.1920

Metody naprawy zastawek obejmują:21

  • Annuloplastykę – zabieg polegający na wszczepieniu pierścienia wokół ujścia zastawki w celu przywrócenia jej prawidłowego kształtu i funkcji22
  • Valvuloplastykę – procedurę, podczas której naprawia się lub rozdziela płatki zastawki23
  • Balonową walwuloplastykę – małoinwazyjną procedurę, polegającą na rozszerzeniu zwężonej zastawki za pomocą balonu wprowadzonego przez cewnik24

Zabiegi naprawcze mogą być wykonywane zarówno metodą klasyczną (przez sternotomię), jak i technikami małoinwazyjnymi, w tym za pomocą robotów chirurgicznych.2526

Wymiana zastawek serca

Gdy naprawa zastawki nie jest możliwa, konieczna staje się jej wymiana. Istnieją dwa główne rodzaje protez zastawkowych:2728

  • Protezy biologiczne – wykonane z tkanki zwierzęcej (najczęściej świńskiej lub bydlęcej) lub ludzkiej. Zaletą tych zastawek jest brak konieczności długotrwałego przyjmowania leków przeciwzakrzepowych, jednak ich trwałość jest ograniczona do 10-15 lat.29
  • Protezy mechaniczne – wykonane z materiałów syntetycznych (metal, węgiel, tytan). Są bardzo trwałe i mogą służyć pacjentowi przez całe życie, jednak wymagają stałego przyjmowania leków przeciwzakrzepowych, aby zapobiec tworzeniu się skrzepów na zastawce.3031

Wybór rodzaju protezy zastawkowej zależy od wieku pacjenta, współistniejących chorób, preferencji pacjenta oraz możliwości stosowania długotrwałej terapii przeciwzakrzepowej.32

Nowoczesne metody małoinwazyjne w leczeniu choroby zastawek serca

W ostatnich latach nastąpił znaczący postęp w dziedzinie małoinwazyjnych metod leczenia chorób zastawkowych serca. Techniki te pozwalają na przeprowadzenie zabiegu bez konieczności wykonywania klasycznej sternotomii, co wiąże się z mniejszym urazem operacyjnym, krótszym czasem rekonwalescencji i mniejszym ryzykiem powikłań.3334

Przezcewnikowa implantacja zastawki aortalnej (TAVR)

Transcatheter Aortic Valve Replacement (TAVR) lub Transcatheter Aortic Valve Implantation (TAVI) to małoinwazyjna metoda leczenia zwężenia zastawki aortalnej. Podczas tego zabiegu nowa zastawka jest wprowadzana do serca za pomocą cewnika, najczęściej przez tętnicę udową, bez konieczności otwierania klatki piersiowej i zatrzymywania pracy serca.3536

TAVR jest szczególnie korzystną opcją dla pacjentów wysokiego ryzyka chirurgicznego, tj. osób starszych lub obciążonych poważnymi chorobami współistniejącymi. Badania kliniczne wykazały, że TAVR oferuje porównywalne lub nawet lepsze wyniki niż klasyczna operacja wymiany zastawki aortalnej u pacjentów z grupy wysokiego ryzyka.3738

Procedura ta charakteryzuje się krótszym czasem hospitalizacji (zwykle pacjent może opuścić szpital już następnego dnia po zabiegu) oraz szybszym powrotem do codziennych aktywności w porównaniu do tradycyjnej operacji.39

Przezcewnikowa naprawa zastawki mitralnej

Jedną z najważniejszych innowacji w dziedzinie małoinwazyjnego leczenia niedomykalności zastawki mitralnej jest system MitraClip. Jest to zabieg przezcewnikowy, podczas którego specjalny klips jest wprowadzany przez żyłę udową do prawego przedsionka, a następnie przez przegrodę międzyprzedsionkową do lewego przedsionka. Klips ten łączy ze sobą płatki zastawki mitralnej, zmniejszając stopień jej niedomykalności.4041

MitraClip jest dedykowany pacjentom z ciężką niedomykalnością zastawki mitralnej, którzy z powodu wysokiego ryzyka operacyjnego nie kwalifikują się do klasycznego zabiegu kardiochirurgicznego. Wyniki kliniczne wskazują na skuteczność tej metody w łagodzeniu objawów i poprawie jakości życia pacjentów z niedomykalnością zastawki mitralnej.42

Poza systemem MitraClip, rozwijane są również inne techniki przezcewnikowej naprawy i wymiany zastawki mitralnej, dostępne obecnie głównie w ramach badań klinicznych.43

Inne metody małoinwazyjne

Poza opisanymi wyżej technikami, w leczeniu chorób zastawkowych stosowane są również inne metody małoinwazyjne:44

  • Przezcewnikowa wymiana zastawki płucnej (TPVR) – podobna do TAVR metoda stosowana w leczeniu wad zastawki płucnej45
  • Przezcewnikowa naprawa zastawki trójdzielnej – zabiegi naprawcze niedomykalności zastawki trójdzielnej wykonywane przy użyciu specjalnych systemów klipsujących, podobnych do MitraClip46
  • Chirurgia małoinwazyjna przez minitorakotomię – technika operacyjna polegająca na dostępie do serca przez małe nacięcie między żebrami, bez konieczności przecinania mostka47
  • Chirurgia wspomagana robotem – zaawansowana technika chirurgiczna wykorzystująca robota chirurgicznego, co pozwala na niezwykłą precyzję i minimalizację urazu operacyjnego48

Zalety leczenia małoinwazyjnego

Metody małoinwazyjne w leczeniu chorób zastawkowych serca oferują szereg korzyści w porównaniu do klasycznych operacji kardiochirurgicznych:4950

  • Mniejszy uraz operacyjny i mniejsze krwawienie
  • Krótszy czas hospitalizacji
  • Mniejszy ból pooperacyjny
  • Szybszy powrót do codziennych aktywności
  • Mniejsze blizny pooperacyjne
  • Mniejsze ryzyko powikłań, szczególnie infekcyjnych
  • Możliwość leczenia pacjentów, którzy nie kwalifikują się do klasycznej operacji ze względu na wysokie ryzyko

Te zalety sprawiają, że metody małoinwazyjne stają się coraz bardziej popularne i dostępne w ośrodkach kardiologicznych i kardiochirurgicznych na całym świecie.51

Opieka pooperacyjna i rehabilitacja

Niezależnie od rodzaju zastosowanej metody leczenia, pacjenci po zabiegach na zastawkach serca wymagają odpowiedniej opieki pooperacyjnej i rehabilitacji.52

Pobyt w szpitalu po klasycznej operacji kardiochirurgicznej wynosi zwykle od 5 do 7 dni, natomiast po zabiegach małoinwazyjnych może być znacznie krótszy – nawet 1-2 dni. Pełny powrót do zdrowia po operacji na otwartym sercu zajmuje około 4-8 tygodni, podczas gdy po zabiegach małoinwazyjnych rekonwalescencja jest znacznie krótsza.53

Po wypisie ze szpitala pacjenci są objęci regularną opieką ambulatoryjną, obejmującą okresowe wizyty kontrolne i badania echokardiograficzne. W zależności od rodzaju implantu zastawkowego, konieczne może być stałe przyjmowanie leków, w tym leków przeciwzakrzepowych.5455

Istotnym elementem rehabilitacji po zabiegach na zastawkach serca jest rehabilitacja kardiologiczna, która obejmuje indywidualnie dobrane ćwiczenia fizyczne, edukację pacjenta odnośnie zdrowego stylu życia oraz wsparcie psychologiczne. Programy rehabilitacji kardiologicznej są zalecane wszystkim pacjentom po zabiegach kardiochirurgicznych i większości pacjentów po zabiegach małoinwazyjnych.5657

Dobór odpowiedniej metody leczenia

Wybór optymalnej metody leczenia choroby zastawkowej serca powinien być dokonywany indywidualnie dla każdego pacjenta przez multidyscyplinarny zespół specjalistów, tzw. Heart Team, składający się z kardiologów, kardiochirurgów, anestezjologów oraz innych specjalistów.5859

Czynniki, które brane są pod uwagę przy wyborze metody leczenia, obejmują:6061

  • Rodzaj i stopień zaawansowania choroby zastawkowej
  • Wiek pacjenta
  • Choroby współistniejące i ogólny stan zdrowia
  • Parametry anatomiczne serca i naczyń
  • Ryzyko operacyjne
  • Preferencje pacjenta
  • Doświadczenie zespołu leczącego

Decyzja o rodzaju leczenia powinna być podejmowana wspólnie przez zespół medyczny i pacjenta, biorąc pod uwagę wszystkie aspekty kliniczne oraz indywidualne potrzeby i preferencje pacjenta.6263

Najnowsze trendy i kierunki rozwoju w leczeniu chorób zastawkowych

Leczenie chorób zastawkowych serca jest dziedziną dynamicznie rozwijającą się, a najnowsze trendy i kierunki badań obejmują:6465

  • Udoskonalanie istniejących technik małoinwazyjnych, zwiększające ich skuteczność i bezpieczeństwo
  • Rozwój nowych systemów do przezcewnikowej wymiany i naprawy zastawek
  • Badania nad bioprotetycznymi zastawkami o zwiększonej trwałości
  • Poszukiwanie nowych materiałów do produkcji protez zastawkowych
  • Rozwój technik obrazowania, ułatwiających planowanie i przeprowadzanie zabiegów małoinwazyjnych
  • Badania nad regeneracją uszkodzonych zastawek za pomocą inżynierii tkankowej i terapii komórkowych
  • Badania kliniczne nad nowymi metodami leczenia, poszerzające wskazania do zabiegów małoinwazyjnych

Postępy te mają na celu zwiększenie dostępności skutecznego leczenia dla coraz szerszej grupy pacjentów, w tym tych, którzy dotychczas nie kwalifikowali się do interwencji zabiegowych ze względu na zbyt wysokie ryzyko.66

Podsumowanie

Choroba zastawek serca stanowi poważny problem zdrowotny, jednak dzięki postępom w medycynie, większość pacjentów może liczyć na skuteczne leczenie i poprawę jakości życia. Leczenie może obejmować farmakoterapię, mającą na celu łagodzenie objawów i zapobieganie powikłaniom, jednak w przypadku zaawansowanej choroby zastawkowej konieczne jest leczenie zabiegowe – naprawa lub wymiana uszkodzonej zastawki.6768

Współczesna medycyna oferuje szeroki wachlarz metod leczenia, od klasycznych operacji kardiochirurgicznych, po zaawansowane techniki małoinwazyjne, takie jak TAVR czy MitraClip. Wybór odpowiedniej metody leczenia powinien być dokonywany indywidualnie, przez multidyscyplinarny zespół specjalistów, biorąc pod uwagę specyfikę choroby, ogólny stan zdrowia pacjenta oraz jego preferencje.6970

Dzięki ciągłemu rozwojowi technik leczniczych, coraz więcej pacjentów z chorobą zastawkową może być skutecznie leczonych, co przekłada się na wydłużenie ich życia i poprawę jego jakości. Kluczem do sukcesu jest wczesna diagnoza, regularne monitorowanie postępu choroby oraz wdrożenie odpowiedniego leczenia na właściwym etapie jej rozwoju.7172

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  1. 09.04.2026
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Materiały źródłowe

  • #1 Heart Valve Diseases – Treatment | NHLBI, NIH
    https://www.nhlbi.nih.gov/health/heart-valve-diseases/treatment
    Heart valve disease is a lifelong condition. However, many people have heart valve defects or disease but dont have symptoms. The condition may stay the same throughout your life and not cause any problems. Or, the condition may slowly get worse until you start to notice symptoms. If not treated, heart valve disease can cause heart failure or other life-threatening conditions. […] Your healthcare provider may recommend healthy lifestyle changes or medicine first to treat symptoms, which may delay problems. Eventually, you may need to have your faulty heart valve repaired or replaced. After repair or replacement, youll still need certain medicines and regular checkups with your doctor. […] Your doctor may prescribe medicines to relieve the symptoms of your heart valve disease, prevent it from getting worse, or treat other heart problems that can affect your heart valves.
  • #2 Heart Valve Disease: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
    Heart valve disease treatments depend on the cause and may include: […] Having surgery or invasive procedures if necessary […] Heart valve disease is a problem with the opening or closing of your leaflets, and you may need surgery to repair or replace your valve. […] Heart valve repair allows your surgeon to fix your faulty valve, often without the use of artificial parts. […] Replacing your heart valve involves removing your old valve and sewing a new valve to the ring-shaped part of your old one. […] Depending on the type of valve problem and your other medical conditions, you may be able to have minimally invasive valve repair or replacement. […] Although medicines cant cure heart valve disease, they and a healthy lifestyle can help with symptoms and decrease your chance of having a stroke or cardiac arrest.
  • #3 Drug Therapy for Heart Valve Diseases
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4582425/
    Valvular heart diseases (VHDs) are progressive. Treatment depends on VHD type and severity but, when severe and symptomatic, usually involves mechanical intervention. […] Though often prescribed based on theory, no rigorous evidence supports pharmacological therapy in most chronic situations, though drugs may be useful in acute valvular diseases, or as a bridge to surgery in severely decompensated patients. This review examines evidence supporting the use of drugs for chronic VHDs. […] Aortic stenosis (AS) is the most common VHD in adults, increasing in prevalence with age. AS presents a mechanical problem that, when hemodynamically severe, adversely affects the myocardium and ultimately requires aortic valve replacement (AVR). No pharmacological therapy has delayed progression or improved prognosis.
  • #4
    https://www.aurorahealthcare.org/services/heart-vascular/conditions/heart-valve-disease
    At Aurora, we work together with you on a treatment plan thats tailored to you. Your plan may include medication and lifestyle changes, like eating a healthy diet, quitting smoking and limiting intense exercise. […] We may also recommend repairing or replacing the damaged valve. Within the top ranks for having the best outcomes, people from throughout the nation and even the world come to us for these procedures that include: […] Transcatheter aortic valve replacement (TAVR), a minimally invasive procedure where we use a thin, flexible tube to replace the damaged valve with an artificial one […] Balloon valvuloplasty, where we thread a catheter with a small balloon on the end through a blood vessel from the groin to the aortic valve and inflate the balloon to stretch the heart valve […] Valve repair or replacement surgery, where our expert surgeons fix the problem through minimally invasive procedures or open-heart surgery.
  • #5 Heart valve disease
    https://www.nhs.uk/conditions/heart-valve-disease/
    If you have mild heart valve disease and you do not have any symptoms, you may not need treatment. You’ll usually have regular check-ups to see if your condition is getting worse. […] If you have symptoms or have severe heart valve disease, you may need medicines to: lower your blood pressure and help protect your heart (ACE inhibitors), reduce build-up of fluid in your body and lungs (diuretics), slow down your heart rate (such as beta blockers), reduce the risk of blood clots (anticoagulants). […] If you have severe heart valve disease you’ll usually need surgery to either: repair the heart valve, if it’s not seriously damaged, replace the heart valve with an artificial valve or one made from human or animal tissue, if it cannot be repaired.
  • #6 Aortic valve stenosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/aortic-stenosis/diagnosis-treatment/drc-20353145
    Treatment for aortic valve stenosis depends on the symptoms and how severe the condition is. Aortic valve stenosis ranges from mild to severe. […] If you have no symptoms or just mild ones, you may only need regular health checkups. Some people need medicines to treat valve disease symptoms or reduce the risk of complications. […] Other treatments for aortic valve disease may include: Heart-healthy lifestyle changes. Eat healthy, get regular exercise and stay active, and do not smoke. Medicines to treat symptoms or reduce the risk of complications. Surgery to fix or replace the valve. […] Some people with aortic valve stenosis may need medicines to treat symptoms or reduce the risk of complications. For example, medicines may be used to: Lower blood pressure. Prevent irregular heartbeats. Remove excess fluid from the body to reduce the strain on the heart.
  • #7 Heart Valve Disease
    https://www.rwjbh.org/treatment-care/heart-and-vascular-care/diseases-conditions/heart-valve-disease/
    Treatment options depend on the severity of your condition, if you’re experiencing signs and symptoms and if your condition is getting worse. Based on the findings, treatment options include: […] Lifestyle Changes […] Eat a heart-healthy diet. […] Exercise under directions of your doctor. […] Avoid smoking. […] Avoid any strenuous activities. […] Practice good dental hygiene by flossing and brushing your teeth regularly. […] Make and keep appointments to see your doctor for routine check-ups and follow-up tests. […] Manage your stress. […] Medications […] Antiarrhythmic medications will help control your hearts rhythm. […] Diuretics water pills will help reduce amount of fluid retention in your body. […] Vasodilators will help lower your blood pressure and dilate and relax the blood vessels.
  • #8 Heart Valve Disease
    https://www.rwjbh.org/treatment-care/heart-and-vascular-care/diseases-conditions/heart-valve-disease/
    Beta blockers will help reduce your blood pressure. […] Anticoagulants blood-thinners will help treat, prevent, and reduce blood clotting. […] Medical and Surgical Procedures […] Aortic valve repair or replacement […] Mitral valve repair or replacement […] Pulmonary valve repair or replacement […] Tricuspid valve repair or replacement […] Transcatheter aortic valve replacement (TAVR) […] Transcatheter mitral valve repair (TMVR)
  • #9 Get Heart Valve Disease Treatment | Cleveland Clinic
    https://my.clevelandclinic.org/services/heart-valve-disease-treatment
    If you have been diagnosed with heart valve disease, there are probably a million thoughts and questions swirling around in your head. […] The best treatment options for you will depend on several things, including which valve is having problems (aortic, pulmonary, mitral, bicuspid or tricuspid), the type of valve disease you have, how badly the valve is damaged, your age and medical history. […] If your symptoms are mild, your provider may simply keep an eye on your condition with regular checkups and repeated testing. If your condition is more serious, treatment options might include: […] Medication: If you think of your heart valves like plumbing in your house, you know that eventually a faulty valve will need to be repaired or replaced. The same is true for your heart valves. So, medicines aren’t a cure, but they can help relieve mild symptoms, make your heart pump better and lessen the chance of further valve damage. Your provider might recommend diuretics (water pills), beta blockers or anticoagulants (blood thinners).
  • #10 Heart valve disease
    https://www.nhs.uk/conditions/heart-valve-disease/
    If you have mild heart valve disease and you do not have any symptoms, you may not need treatment. You’ll usually have regular check-ups to see if your condition is getting worse. […] If you have symptoms or have severe heart valve disease, you may need medicines to: lower your blood pressure and help protect your heart (ACE inhibitors), reduce build-up of fluid in your body and lungs (diuretics), slow down your heart rate (such as beta blockers), reduce the risk of blood clots (anticoagulants). […] If you have severe heart valve disease you’ll usually need surgery to either: repair the heart valve, if it’s not seriously damaged, replace the heart valve with an artificial valve or one made from human or animal tissue, if it cannot be repaired.
  • #11 Heart valve disease – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-valve-disease/diagnosis-treatment/drc-20353732
    Heart valve disease treatment depends on: […] Treatment may include: […] Some people with heart valve disease need medicines to treat their symptoms. Blood thinners may be given to help prevent blood clots. […] A diseased or damaged heart valve might eventually need to be repaired or replaced, even if you don’t have symptoms. […] Methods to repair or replace heart valves include open-heart surgery or minimally invasive heart surgery. […] If you have heart valve disease, your health care team might suggest surgery to repair and save your heart valve. […] Heart valve repair procedures include: […] In a mechanical valve replacement, an artificial heart valve made of strong material replaces the damaged valve. […] In a biological valve replacement, a valve made from cow, pig or human heart tissue replaces the damaged heart valve.
  • #12 Antithrombotic Therapy in Patients With Valvular Heart Disease
    https://www.uspharmacist.com/article/antithrombotic-therapy-in-patients-with-valvular-heart-disease
    Valvular heart disease (VHD) is a disorder in which a heart valve is damaged or diseased, resulting in poor cardiac blood flow. […] Most patients with VHD require surgery to repair or replace the valve and subsequent antithrombotic therapy to prevent clotting. […] After a prosthetic valve replacement, optimal antithrombotic therapy is recommended to prevent thromboembolism while minimizing the risk of bleeding. […] The therapeutic goals for treating VHD include reducing symptoms, repairing or replacing valves, and preventing blood clots. […] However, most patients will require surgical intervention, such as valvular repair or replacement. […] After the procedure, it is recommended that patients be started on antithrombotic therapy, such as warfarin or aspirin, to prevent thromboembolism.
  • #13 Heart Valve Disease
    https://www.rwjbh.org/treatment-care/heart-and-vascular-care/diseases-conditions/heart-valve-disease/
    Treatment options depend on the severity of your condition, if you’re experiencing signs and symptoms and if your condition is getting worse. Based on the findings, treatment options include: […] Lifestyle Changes […] Eat a heart-healthy diet. […] Exercise under directions of your doctor. […] Avoid smoking. […] Avoid any strenuous activities. […] Practice good dental hygiene by flossing and brushing your teeth regularly. […] Make and keep appointments to see your doctor for routine check-ups and follow-up tests. […] Manage your stress. […] Medications […] Antiarrhythmic medications will help control your hearts rhythm. […] Diuretics water pills will help reduce amount of fluid retention in your body. […] Vasodilators will help lower your blood pressure and dilate and relax the blood vessels.
  • #14 Heart Valve Disease
    https://www.rwjbh.org/treatment-care/heart-and-vascular-care/diseases-conditions/heart-valve-disease/
    Beta blockers will help reduce your blood pressure. […] Anticoagulants blood-thinners will help treat, prevent, and reduce blood clotting. […] Medical and Surgical Procedures […] Aortic valve repair or replacement […] Mitral valve repair or replacement […] Pulmonary valve repair or replacement […] Tricuspid valve repair or replacement […] Transcatheter aortic valve replacement (TAVR) […] Transcatheter mitral valve repair (TMVR)
  • #15 Heart Valve Disease Treatment Without Surgery: The Options
    https://www.healthline.com/health/heart-valve-disease-treatment-without-surgery
    Heart valve disease doesnt always require surgery. Nonsurgical treatments like medications, lifestyle changes, or minimally invasive procedures are sufficient for some people. […] A doctor may recommend nonsurgical options if your heart valve disease is mild or to help minimize your risk of complications while you wait for surgery. […] Medications can help reduce your symptoms, prevent complications, and take the stress off your heart. […] Lifestyle changes alone might be enough to treat minor heart valve disease or help maximize your heart health until you can receive surgical treatment. […] Surgeons can use nonsurgical procedures to treat heart valve disease by repairing your valve from within your bloodstream. These are called percutaneous valve procedures. […] Your doctor may recommend heart valve surgery if your condition is causing symptoms or if they think that it could lead to heart damage in the future. […] Mild heart valve disease might be manageable without surgery. Your doctor might recommend lifestyle changes, medications, or nonsurgical procedures.
  • #16 Can medications help treat heart valve problems?
    https://www.medicalnewstoday.com/articles/can-heart-valve-problems-be-treated-with-medication
    A doctor may recommend various medications, such as antiarrhythmics, anticoagulants, or beta-blockers, to help treat heart valve problems. In some situations, a person may only require medications to help them manage symptoms and lower the risk of complications. […] The best treatment option for an individual with heart valve problems will depend on the severity of the issue. Healthcare providers often recommend medications for people with heart valve problems to reduce symptoms and ease the strain on the heart muscles. […] While medications do not address heart valve problems, they can play an important role in managing symptoms and reducing the risk of further complications. […] In some cases, such as when a person has a mild valve condition or when surgery is unsuitable, medications are typically the most suitable course of action.
  • #17 Treatment Options for Heart Valve Disease | Cedars-Sinai
    https://www.cedars-sinai.org/blog/treatment-options-heart-valve-disease.html
    Every year, more than 5 million people in the U.S. are diagnosed with heart valve disease. […] Dr. Joanna Chikwe, chair of the Department of Cardiac Surgery at Cedars-Sinai, says that while some people might be hesitant to undergo surgery to replace or repair a heart valve, it’s far riskier to let severe heart disease go untreated. […] „Surgery is actually the safest option you have,” Dr. Chikwe says. „The things that you’re scared of when you think about heart surgery, like dying or having a stroke, are actually more likely to happen if you do nothing.” […] Due to advances in surgical technology, there are now a range of innovative, minimally invasive procedures to treat heart valve disease, such as transcatheter aortic valve replacement (TAVR), percutaneous mitral valve repair (MitraClip) and robotic mitral valve repair.
  • #18 Treatment – Heart Valve Voice
    https://heartvalvevoice.com/heart-valve-disease/treatment/
    Heart valve disease is a common and serious condition that affects over 1.5 million people in the UK. Despite its seriousness, it is highly treatable. With timely intervention, many individuals can return to a high quality of life, often symptom-free. […] Treatment for heart valve disease depends on the severity of the condition. Effective management typically involves either valve repair or replacement. Advances in medical technology have significantly improved treatment outcomes, with less invasive procedures now available. […] Traditional surgical procedures for valve repair or replacement have been successful for many decades. These procedures involve either repairing the damaged valve or replacing it with a prosthetic valve. […] A less invasive option that has gained prominence in recent years is Transcatheter Aortic Valve Implantation (TAVI). This procedure is often recommended for patients who are considered high-risk for traditional surgery. TAVI involves inserting a new valve through a catheter, typically inserted through a blood vessel in the groin or chest, avoiding the need for open-heart surgery.
  • #19 Treatment Options for Heart Valve Disease | Cedars-Sinai
    https://www.cedars-sinai.org/blog/treatment-options-heart-valve-disease.html
    Dr. Chikwe says that for patients with a heart disease, it’s important to seek out a cardiac surgeon who specializes in their specific heart valve condition. […] „If you have a mitral valve that leaks, you want a mitral valve surgeon,” Dr. Chikwe says. „If you have an aortic valve that needs replacing, you should consult an aortic valve surgeon.” […] You can increase your chances of having a successful heart valve repair to about 100%, depending on which specialist you choose for your operation, says Dr. Chikwe. […] Today, cardiac specialists are able to repair, rather than replace, a faulty mitral valve through minimally invasive surgery. Compared to replacing the valve, mitral valve repair is associated with better outcomes and faster recovery times. […] „Whenever possible, we repair rather than replace the valve,” says Dr. Chikwe. […] Patients who undergo minimally invasive surgery to repair or replace a heart valve are often able to recover in just a few weeks. […] „After heart surgery, you should feel much more able to do all the types of physical activities that you maybe weren’t able to do before,” Dr. Chikwe says.
  • #20 Heart Valve Disease Treatment | MedStar Health
    https://www.medstarhealth.org/services/heart-valve-treatment
    Heart valve disease Treatment, therapy includes a wide range of conditions that may be present at birth or may develop from injuries, infections or growing older. […] We offer a full range of surgical and nonsurgical treatments. Many of our treatments are less invasive than traditional open-heart surgery, which means more patients are good candidates. […] Your cardiologist may refer you to a MedStar Health cardiac surgeon to repair or replace your heart valve if medication has failed to reduce the strain on your heart and has not alleviated symptoms. […] Heart valve repair is the preferred treatment option, because using your own tissue is better than replacing a heart valve. […] Heart valve replacement can be performed using a variety of valves, including mechanical and biological tissue valves (those from pig or cow tissue).
  • #21 Heart Valve Disease Treatment
    https://www.webmd.com/heart-disease/valve-disease-treatments
    Diseased heart valves can be treated both surgically (traditional heart valve surgery) and non-surgically (balloon valvuloplasty). […] During traditional heart valve surgery, a surgeon will make an incision down the center of your sternum (breastbone) to get direct access to your heart. The surgeon then repairs or replaces your abnormal heart valve or valves. […] Minimally invasive heart valve surgery is a type of surgery performed through smaller incisions. This type of surgery reduces blood loss, trauma, and length of hospital stay. […] If your valve can be repaired, your surgeon will perform any of the following types of valve repair procedures. […] When you have aortic or pulmonic heart valve disease, valve replacement surgery is usually performed. In some cases, the aortic valve can be repaired.
  • #22 Heart Valve Disease Treatment | MedStar Health
    https://www.medstarhealth.org/services/heart-valve-treatment
    Valve sparing is a relatively new technique used to treat aortic disease. […] Heart valve surgery (whether valves are repaired or replaced) is open-heart surgery that is done while you are under general anesthesia. […] Some of the many treatments we offer include: Repaid and replacement of the mitral, pulmonary and tricuspid valves, Closure of patent foramen ovales (PFOs) and atrial septal defects, Mitral valve disease treatments, including the MitraClip procedure. […] Aortic valve repair and replacement, including transcatheter aortic valve replacement (TAVR). […] Today, severe aortic stenosis patients can receive transcatheter aortic valve replacement (TAVR), a minimally invasive procedure to replace a faulty aortic valve that is blocking the flow of blood. […] Annuloplasty is a surgical procedure to treat a leaky heart valve.
  • #23 Heart Valve Disease Treatment
    https://www.webmd.com/heart-disease/valve-disease-treatments
    During valve replacement surgery, the faulty valve is removed and a new valve is sewn to the annulus of your original valve. […] Yes. Balloon valvuloplasty is used to increase the opening of a narrowed (stenotic) heart valve. […] During a balloon valvuloplasty, a specially designed catheter is inserted into a blood vessel in the groin and guided to the heart. […] Non-surgical procedures to treat valvular disease, such as transcatheter aortic valve replacement (TAVR), provide additional treatment options using a catheter for valve disease.
  • #24 Aortic valve stenosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/aortic-stenosis/diagnosis-treatment/drc-20353145
    Surgery to repair or replace an aortic valve is usually done through a cut in the chest. Less invasive approaches may be available. Ask your healthcare professional which type of aortic valve treatment is best for you. […] Surgery and procedures for aortic valve stenosis include: Balloon valvuloplasty. This treatment helps open a narrowed valve. It may be done in infants and children with aortic valve stenosis. In adults, the aortic valve tends to narrow again after the treatment. So it’s usually done only if an adult is too sick for surgery or if an adult is waiting for a valve replacement. […] Aortic valve replacement is often needed to treat aortic valve stenosis. In aortic valve replacement, the surgeon takes out the damaged valve and replaces it with a mechanical valve or a valve made from cow, pig or human heart tissue.
  • #25 Heart Valve Disease Treatment | MedStar Health
    https://www.medstarhealth.org/services/heart-valve-treatment
    Cardiac surgeons can use either the traditional open-heart surgery or minimally invasive surgery techniques to perform an annuloplasty procedure. […] Open heart surgery A cardiac surgeon makes a large incision in the chest, the ring is placed around the heart valve, and the incision is closed using surgical glue or stiches. […] Minimally-Invasive procedure A cardiac surgeon makes several small incisions in the chest and inserts a catheter with a tiny camera. […] The skilled cardiologists at MedStar Good Samaritan Hospital can diagnose and treat most heart conditions on site.
  • #26 Tratamiento de las Valvulopatías | PortalCLÍNIC
    https://www.clinicbarcelona.org/en/assistance/diseases/valvulopathies/treatment
    In some people, such as those with mitral or aortic valve narrowing (stenosis) and highly calcified valves, the valves cannot be repaired. In these cases the operation involves heart valve replacement, for which various types of prostheses can be used: […] Until recently, surgery was the only treatment option for patients requiring valvular replacement or repair. […] In recent years, techniques have been developed to repair or replace heart valves through a catheter (inserted through the groin in most cases). These percutaneous treatments are an option for patients with a high surgical risk. […] In addition to percutaneous treatment, there are also less aggressive surgical options. Minimally invasive surgery uses tools that allow heart valves to be repaired using smaller incisions than those employed in conventional surgery, but with the same results. […] Over the last 20 years, minimally invasive heart surgery has been the most-widely performed type, as growing evidence indicates that it provides excellent results.
  • #27 Heart valve disease – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-valve-disease/diagnosis-treatment/drc-20353732
    Heart valve disease treatment depends on: […] Treatment may include: […] Some people with heart valve disease need medicines to treat their symptoms. Blood thinners may be given to help prevent blood clots. […] A diseased or damaged heart valve might eventually need to be repaired or replaced, even if you don’t have symptoms. […] Methods to repair or replace heart valves include open-heart surgery or minimally invasive heart surgery. […] If you have heart valve disease, your health care team might suggest surgery to repair and save your heart valve. […] Heart valve repair procedures include: […] In a mechanical valve replacement, an artificial heart valve made of strong material replaces the damaged valve. […] In a biological valve replacement, a valve made from cow, pig or human heart tissue replaces the damaged heart valve.
  • #28 Valvular Heart Disease | Heart Valve Disease | MedlinePlus
    https://medlineplus.gov/heartvalvediseases.html
    In some cases, valve replacement is necessary. There are 2 types of replacement valves: […] Biologic valves made from pig, cow, or human tissue. These valves tend to wear out after 10 to 15 years, but some may last longer. […] Mechanical (human-made) valves usually don’t wear out. But with a mechanical valve, you usually have to take blood thinners for the rest of your life to prevent blood clots. And your risk of endocarditis (a heart infection) is higher than with a biologic valve.
  • #29 Treatments for heart valve disease – Heart Matters magazine – BHF
    https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/treatments-for-heart-valve-disease
    Your heart valves make sure blood flows through your heart in the right direction. As you get older, valves can become diseased or damaged, making them very stiff or causing them to leak. This forces your heart to work much harder to pump enough blood to meet your bodys demand for oxygen. […] Mild to moderate valve problems are usually managed with lifestyle changes and medications, but if a valve becomes severely affected or you suffer with symptoms such as light-headedness and tiredness, you may be considered for valve replacement surgery. […] The replacement will be a donated tissue valve from a human or an animal (such as a pig or a cow), or a mechanical valve made from carbon fibre. […] A mechanical valve will almost always last for life, but you must take an anticoagulant such as warfarin to stop blood clots forming around it. Tissue valves should eliminate or alleviate your symptoms for 10 to 15 years.
  • #30 Heart Valve Disease Treatment | National Jewish Health
    https://www.nationaljewish.org/conditions/heart-valve-disease/treatment
    People who do not have any symptoms or only minimal symptoms may not need treatment. […] Sometimes, medications can help. For others, open heart surgery might be needed. New approaches using cardiac catheterization and transapical valve implantation/replacement (TAVI/TAVR) will allow minimally invasive repair and may be the best choice for some valve disorders such as aortic and mitral stenosis. […] Surgery is the most invasive option for the treatment of valve disease. During surgery, valves may either be repaired or replaced. […] More and more valve problems can be repaired, allowing a patient to use his own valve tissue and structure to help fix the problem. […] When valves are not repairable, replacement is used. Replacement prosthetic valves can either be mechanical (made from materials such as plastic, carbon or metal) or biological (made from human or animal tissue). Mechanical valves increase the risk of blood clots forming on the new valve. Patients with mechanical heart valves will need to take blood-thinning medicines (like Coumadin) for the rest of their lives.
  • #31 Get Heart Valve Disease Treatment | Cleveland Clinic
    https://my.clevelandclinic.org/services/heart-valve-disease-treatment
    Minimally invasive procedures: Our providers use minimally invasive or robotic procedures whenever possible, including transcatheter aortic valve replacement (TAVR), Transcatheter edge-to-edge valve repair for mitral or tricuspid valve (TEER) and transcatheter pulmonary valve replacement (TPVR). In these procedures, your valve is replaced using a small tube (catheter) that’s put into an artery in your groin or neck instead of making a large incision (cut) in your chest. Your provider will tell you if TAVR, TEER or TPVR is an option for you. There may be an option to replace your mitral or tricuspid valve percutaneously (nonsurgical procedure where the replacement is done using a catheter). […] Surgery: If your valve is severely damaged, you may need surgery. Your provider will decide if the valve can be repaired without using artificial parts or if it needs to be replaced with a biological valve (from a cow or pig) or a mechanical valve (made from carbon and metal). […] If left untreated, heart valve disease can severely impact daily life and even become life-threatening. With the right care from the best team, a healthy heart is within reach.
  • #32 Heart Valve Disease – Brigham and Women’s Hospital
    https://www.brighamandwomens.org/heart-and-vascular-center/diseases-and-conditions/heart-valve-disease
    Valve replacement involves removing the native valve and replacing it with an artificial valve made of either mechanical parts or biological tissues. […] The choice between a mechanical valve and a biological valve is based on many factors, including patient preference, age, overall health, medical history, severity and form of the disease, tolerance for specific medications or procedures, expectations for course of the disease, and presence of other conditions. […] Surgeons at Brigham and Womens Hospital will walk you through this decision process, the expected outcomes, and address any and all concerns throughout your pre-operative assessment. […] There are a variety of techniques that are used to repair or replace valves. […] Our heart valve specialists also offer several minimally invasive valve replacement procedures that are designed to result in less trauma, less blood loss, less pain and a shorter hospital stay.
  • #33
    https://www.beaumont.org/treatments/valve-disease-treatment
    Beaumont is the leader in the treatment of heart valve disease. In some cases, the only treatment for heart valve disease may be careful medical supervision. However, other treatment options may include medication, surgery to repair the valve, or surgery to replace the valve. Specific treatment will be determined by Beaumont’s heart team based on: […] Treatment varies, depending on the type of heart valve disease, and may include one, or a combination of, the following: […] Medications are not a cure for heart valve disease, but in some cases it can be successful in the treatment of symptoms caused by heart valve disease. […] Surgery may be necessary to repair or replace the malfunctioning valve(s). Surgery may include minimally invasive heart surgery or open-heart surgery (full sternotomy). […] Beaumont’s heart team will work with your to create a customized treatment plan designed specifically to treat your symptoms and risk factors.
  • #34 Heart Valve Disorders | Conditions & Treatments | UTSW
    https://utswmed.org/conditions-treatments/heart-valve-disorders/
    UT Southwestern Medical Center has earned a „High Performing” rating from U.S. News World Report for aortic valve surgery, placing us among the nations top hospitals for this procedure. […] With UT Southwestern Medical Center’s minimally invasive techniques to fix heart valve disease, you’ll recover more quickly and feel better faster. […] We offer a variety of approaches to treat heart valve disorders, with a focus on minimally invasive surgery. […] Valve disease treatment has improved dramatically over the past 15 years, from being able to replace faulty valves with prosthetics to surgically repairing the valves without cracking the chest (as is done in traditional open surgery). […] Through minimally invasive surgery, we need to make only a 2-inch incision to repair or replace a valve, and the recovery time is reduced to 10 days versus six weeks for traditional open surgery.
  • #35 Aortic valve stenosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/aortic-stenosis/diagnosis-treatment/drc-20353145
    In a biological valve replacement, a valve made from cow, pig or human heart tissue replaces the damaged heart valve. […] In a mechanical valve replacement, an artificial heart valve made of strong material replaces the damaged valve. […] Transcatheter aortic valve replacement (TAVR) is a type of heart valve surgery. It’s done to replace a narrowed aortic valve, a condition called aortic valve stenosis. A doctor inserts a flexible tube called a catheter into a blood vessel and guides it into the heart. A replacement valve made of cow or pig tissue goes through the tube to the specific area in the heart. A balloon on the catheter tip inflates to press the new valve into place. Some valves are self-expanding. […] You may eventually need a surgery to repair or replace the narrowed aortic valve, even if you don’t have symptoms. Aortic valve surgery may be done at the same time as other types of heart surgery.
  • #36 Heart Valve Disorders | Conditions & Treatments | UTSW
    https://utswmed.org/conditions-treatments/heart-valve-disorders/
    Heart valve disorders are treated either surgically or percutaneously (via a needle puncture through the skin). The goal is to repair or replace the valve, and this can be done in one of three ways: open surgery, minimally invasive surgery, or percutaneously. […] Whenever possible, we recommend minimally invasive heart valve surgery. […] Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure for patients with severe symptomatic aortic stenosis. […] Patients with mitral regurgitation and who are too old or sick for open surgery may be treated with the MitraClip.
  • #37 Severe Aortic Stenosis Treatment Options | Heart Valve Failure Patient
    https://treatheartvalvefailure.com/about-treatment/treatment-options
    Heart valve failure may sound scary, but it’s treatable, and you should know your options. TAVR (transcatheter aortic valve replacement) and SAVR (surgical aortic valve replacement), also called open heart surgery, are both ways to replace your heart valve. They reduce your risk of death from heart valve failure and provide relief from your symptoms. They each have their own key differences. […] TAVR does not involve opening the chest. The average TAVR procedure takes about 1 hour. Open heart surgery, by comparison, lasts about 4 hours. Most TAVR patients return home the next day and have a short recovery time, getting them back to everyday activities quickly. TAVR may also be used for patients at high risk for surgery. […] The PARTNER 3 Trial, SAPIEN 3 TAVR proven superior to surgery on the primary endpoint of all-cause death, all stroke, and re-hospitalization (valve-related or procedure-related and including heart failure) at one year, and multiple pre-specified secondary endpoints in low risk patients.
  • #38 Treatment – Heart Valve Voice
    https://heartvalvevoice.com/heart-valve-disease/treatment/
    Minimally invasive valve surgery is an advanced approach that offers a less invasive alternative to traditional open-heart surgery. This technique involves accessing the heart through a small incision on the right side of the chest, which can be as small as five centimetres. […] Transcatheter Aortic Valve Implantation (TAVI) is a minimally invasive procedure designed for patients who are at high risk for traditional open-heart surgery. TAVI offers a less invasive alternative to conventional valve replacement methods. […] TAVI provides a valuable treatment option for patients who may not be suitable candidates for traditional surgery, offering effective results with a less invasive approach.
  • #39 Treating Heart Valve Disease | Providence
    https://www.providence.org/services/heart-and-vascular/heart-valve-disease
    When youre a patient at Providence, we help you feel better today and reduce your risk of more serious disease tomorrow. We work with you to create a personalized plan to treat your heart valve disease. This plan includes everything from diagnosis and treatment to the post-care support you need to feel your best. The result is compassionate, whole-person care for your body, mind and spirit. […] If your treatment requires innovative procedures, weve got you covered. When Lynn Barry was diagnosed with aortic stenosis, a type of valve problem, she was told shed need open-heart surgery to replace a heart valve. But because Ms. Barrys heart condition was strong overall, her Providence cardiologist instead recommended the cutting-edge transcatheter aortic valve replacement (TAVR) procedure. TAVR is dramatically easier on the patient because it doesnt require opening the chest. Ms. Barry was able to return home just one day after the procedure.
  • #40 Diagnosis & Treatment of Heart Valve Disease | NYU Langone Health
    https://nyulangone.org/care-services/heart-valve-center/diagnosis-treatment-of-heart-valve-disease
    We offer many treatment options for mitral valve disease, including the following: transcatheter procedures such as transcatheter mitral valve repair with MitraClip, transcatheter mitral valve replacement, and mitral balloon valvuloplasty, which are provided by doctors at our Transcatheter Heart Valve Program; robotic mitral valve repair, which is performed through five small pencil-sized incisions in the chest wall between the ribs and is provided by doctors at our Mitral Valve Repair Program; minimally invasive mitral valve repair that involves a small incision on the right side of the chest, which is also provided by doctors at our Mitral Valve Repair Program. […] Recovery time following a heart valve disease procedure depends on the type of treatment used and your overall health. Transcatheter techniques generally require a one-night hospital stay, while open heart procedures can require a two- to four-day hospital stay.
  • #41 Structural Heart/Valve Disease Program | Inova
    https://www.inova.org/our-services/inova-schar-heart-and-vascular/specialty-programs-services/structural-heart-valve-disease-program
    TAVR revolutionized aortic stenosis treatment, offering a minimally invasive alternative to traditional open aortic valve replacement surgery. The transcatheter approach allows for early mobility, a much shorter length of stay and rapid recovery. Inova offers options for customizable heart valves including, the Evolut PRO valve and Sapien 3 valve. […] Mitral valve regurgitation (MR) is a prevalent and often progressive disease affecting more than 4 million Americans. Due to the mitral valve’s complex anatomic structure, only a small minority of patients with severe MR have undergone surgical valve repair or replacement. Technical advances now offer patients newer, less invasive options, including MitraClip and Intrepid Transcatheter Mitral Valve Replacement (TMVR). […] Inova offers TriClip tricuspid valve device, which offers a less invasive alternative procedure for treating tricuspid regurgitation. This technique involves delivery of the device through the femoral vein in the leg. It clips the valve’s leaflets together reducing the backward flow of blood, and helps restore more efficient heart function, alleviates symptoms, enhancing the patient’s quality of life, all without the need for open-heart surgery.
  • #42 Treating mitral valve regurgitation – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/treating-mitral-valve-regurgitation
    Mitral valve regurgitation is the most common type of valvular heart disease in the U.S. The prevalence of the condition increases with age. About 10% of adults over 75 have mitral valve regurgitation. […] Severe, symptomatic mitral valve regurgitation can weaken the heart and lower life expectancy if not treated. […] The goal of treatment is to improve heart function and reduce symptoms. This may include regular monitoring, medication, valve repair or valve replacement. […] For severe cases, the healthcare team may recommend repairing a leaky valve with open heart mitral valve repair or replacement surgery. In suitable patients, the mitral valve also can be repaired without open heart surgery using a catheter-based endovascular procedure. […] Transcatheter edge-to-edge repair, or TEER, of the mitral valve is an alternative to traditional open-heart surgery to treat a leaky valve. The minimally invasive procedure is performed in a cardiac catheterization lab. […] A TEER procedure may be a good option if you have severe mitral valve regurgitation, aren’t a good candidate for open-heart surgery, or have heart failure with mitral valve regurgitation due to heart enlargement.
  • #43 Mitral Valve Repair and Treatment | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/mitral-valve-repair-and-treatment
    Sometimes, the most appropriate treatment is a nonsurgical approach that involves medications, lifestyle changes and monitoring. […] Most of the transcatheter approaches are in clinical trials and approved for people who are unable to tolerate open-heart surgery. […] Transcatheter techniques use catheters (thin tubes) to reach the heart. […] Our doctors use different entry points for catheter-based mitral valve treatment. […] Mitral valve balloon valvuloplasty: In patients with less severe stenosis, the doctor inflates a balloon inside the damaged valve. […] Transcatheter mitral valve repair: This procedure is used in patients with mitral valve regurgitation who are not candidates for open-heart surgery. […] Our doctors often use a minimally invasive surgical approach to repair or replace the mitral valve. […] In some cases, we recommend open-heart surgery for patients with severe mitral prolapse or multiple heart conditions, or for those who have had previous operations. […] Our surgical teams are among the best in the country.
  • #44 Valve Disease Treatment Program | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/valve-disease
    Mass General Brigham surgeons are experts at performing minimally invasive procedures for eligible patients with stenosis and/or regurgitation of the aortic, mitral, tricuspid, and pulmonic heart valves. […] During these minimally invasive procedures, a surgeon makes small incisions in the side of a patients chest to allow the insertion of small tubes containing tiny surgical instruments. […] These procedures are very safe and have low complication rates. Compared with traditional open heart surgery (sternotomy), patients who undergo minimally invasive procedures tend to have: Faster recoveries, Less bleeding, Lower postoperative pain, Quicker returns to work/active lifestyle, Shorter hospital stays, Smaller scars. […] The valve specialists at Mass General Brigham work closely with patients to determine the best treatment plan for each individual.
  • #45 Get Heart Valve Disease Treatment | Cleveland Clinic
    https://my.clevelandclinic.org/services/heart-valve-disease-treatment
    Minimally invasive procedures: Our providers use minimally invasive or robotic procedures whenever possible, including transcatheter aortic valve replacement (TAVR), Transcatheter edge-to-edge valve repair for mitral or tricuspid valve (TEER) and transcatheter pulmonary valve replacement (TPVR). In these procedures, your valve is replaced using a small tube (catheter) that’s put into an artery in your groin or neck instead of making a large incision (cut) in your chest. Your provider will tell you if TAVR, TEER or TPVR is an option for you. There may be an option to replace your mitral or tricuspid valve percutaneously (nonsurgical procedure where the replacement is done using a catheter). […] Surgery: If your valve is severely damaged, you may need surgery. Your provider will decide if the valve can be repaired without using artificial parts or if it needs to be replaced with a biological valve (from a cow or pig) or a mechanical valve (made from carbon and metal). […] If left untreated, heart valve disease can severely impact daily life and even become life-threatening. With the right care from the best team, a healthy heart is within reach.
  • #46 Structural Heart/Valve Disease Program | Inova
    https://www.inova.org/our-services/inova-schar-heart-and-vascular/specialty-programs-services/structural-heart-valve-disease-program
    The WATCHMAN FLX left atrial appendage closure procedure offers stroke risk reduction in nonvalvular atrial fibrillation (AFib) patients who are not candidates for chronic anticoagulation medications (i.e., blood thinners) due to noncompliance, occupational restrictions, long-term bleeding or a strong preference not to take anticoagulants. […] Inova cardiologists and cardiac surgeons offer specialized expertise in various techniques to resolve ASD, including minimally invasive catheter repair. […] PFO catheter repair closes the patent foramen ovale (flap in the atrial septum wall). Our structural heart cardiologists insert a catheter with a closure device through the leg vein, up to the heart, where it is left to close up the flap. […] Inovas specially trained interventional cardiologists perform transcatheter (minimally invasive/nonsurgical) PLV repair by inserting a catheter into a blood vessel in the groin area, advancing it through the blood vessels to the site of the leaking heart valve, and implementing one or more specialized closure devices to plug the leak.
  • #47 Treatment – Heart Valve Voice
    https://heartvalvevoice.com/heart-valve-disease/treatment/
    Minimally invasive valve surgery is an advanced approach that offers a less invasive alternative to traditional open-heart surgery. This technique involves accessing the heart through a small incision on the right side of the chest, which can be as small as five centimetres. […] Transcatheter Aortic Valve Implantation (TAVI) is a minimally invasive procedure designed for patients who are at high risk for traditional open-heart surgery. TAVI offers a less invasive alternative to conventional valve replacement methods. […] TAVI provides a valuable treatment option for patients who may not be suitable candidates for traditional surgery, offering effective results with a less invasive approach.
  • #48 Treating Heart Valve Disease | Providence
    https://www.providence.org/services/heart-and-vascular/heart-valve-disease
    Your care plan may include one or more of the following therapies: Aortic valve repair or replacement, Cardiac rehabilitation, Heart valve repair or replacement/valvuloplasty, Mitral valve repair or replacement, Prescription medications, Robot-assisted mitral valve repair, Transcatheter aortic valve replacement (TAVR), Transcatheter mitral valve repair, Tricuspid valve repair or replacement.
  • #49 Heart Valve Disease Diagnosis and Treatment | Knight Cardiovascular Institute | OHSU
    https://www.ohsu.edu/knight-cardiovascular-institute/heart-valve-disease-diagnosis-and-treatment
    If damaged heart valves make it harder for your heart to pump blood, you may need treatment to repair or replace them. […] Your care team will discuss the best option for you. […] Some valves are too damaged to repair. We may replace valves with: […] OHSU is the only Oregon hospital that can use this approach to repair or replace any heart valve. Our doctors are national leaders in these procedures. Our patients also have access to the newest devices through clinical trials. […] We offer more treatment options than any center in Oregon for mitral valve disease. OHSU was the first hospital in Oregon and only the third in the U.S. to replace a mitral valve without open-heart surgery. […] Options include: […] Treatment options include: […] Our palliative specialists can help you and your family manage anxiety, pain and other issues. The offer services to anyone with a serious illness.
  • #50 Valve Disease Treatment Program | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/valve-disease
    Mass General Brigham surgeons are experts at performing minimally invasive procedures for eligible patients with stenosis and/or regurgitation of the aortic, mitral, tricuspid, and pulmonic heart valves. […] During these minimally invasive procedures, a surgeon makes small incisions in the side of a patients chest to allow the insertion of small tubes containing tiny surgical instruments. […] These procedures are very safe and have low complication rates. Compared with traditional open heart surgery (sternotomy), patients who undergo minimally invasive procedures tend to have: Faster recoveries, Less bleeding, Lower postoperative pain, Quicker returns to work/active lifestyle, Shorter hospital stays, Smaller scars. […] The valve specialists at Mass General Brigham work closely with patients to determine the best treatment plan for each individual.
  • #51 Marin County Valve Disease Treatment | MarinHealth Heart Surgeons
    https://www.mymarinhealth.org/programs-services/cardiovascular-medicine/heart-surgery/valve-disease/
    Heart valve surgery is a procedure to treat heart valve disease. […] In heart valve surgery, a surgeon repairs or replaces the damaged or diseased heart valve or valves. […] The type of heart valve surgery needed depends on age, overall health, and the type and severity of heart valve disease. […] Heart doctors recommend heart valve repair when possible. […] If your heart valve can’t be repaired and other treatments aren’t an option, the valve might need to be replaced. […] A minimally invasive catheter procedure might be used to replace certain heart valves. […] Heart valve surgery can be done using standard open-heart surgery. […] Minimally invasive heart surgery involves much smaller incisions than those used in open-heart surgery. […] Compared with open-heart surgery, minimally invasive heart surgery might involve a shorter hospital stay, a quicker recovery, less pain, lower risk of infection, less time spent in the intensive care unit, and a lower risk of heart rhythm issues after surgery.
  • #52 Heart Valve Disease: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
    The decision to prescribe medical treatment, surgical repair or surgical replacement depends on several factors, including: […] If you know about your valve disease before pregnancy, ask your healthcare provider if you should have tests or see a cardiologist before trying to become pregnant. […] Older people and those whose health isnt good to begin with have a higher risk of complications from valve replacement surgery. […] You may be in the hospital for about five to seven days after heart valve surgery. After that, it can take about four to eight weeks to recover.
  • #53 Diagnosis & Treatment of Heart Valve Disease | NYU Langone Health
    https://nyulangone.org/care-services/heart-valve-center/diagnosis-treatment-of-heart-valve-disease
    We offer many treatment options for mitral valve disease, including the following: transcatheter procedures such as transcatheter mitral valve repair with MitraClip, transcatheter mitral valve replacement, and mitral balloon valvuloplasty, which are provided by doctors at our Transcatheter Heart Valve Program; robotic mitral valve repair, which is performed through five small pencil-sized incisions in the chest wall between the ribs and is provided by doctors at our Mitral Valve Repair Program; minimally invasive mitral valve repair that involves a small incision on the right side of the chest, which is also provided by doctors at our Mitral Valve Repair Program. […] Recovery time following a heart valve disease procedure depends on the type of treatment used and your overall health. Transcatheter techniques generally require a one-night hospital stay, while open heart procedures can require a two- to four-day hospital stay.
  • #54 Heart Valve Diseases – Treatment | NHLBI, NIH
    https://www.nhlbi.nih.gov/health/heart-valve-diseases/treatment
    Heart valve disease is a lifelong condition. However, many people have heart valve defects or disease but dont have symptoms. The condition may stay the same throughout your life and not cause any problems. Or, the condition may slowly get worse until you start to notice symptoms. If not treated, heart valve disease can cause heart failure or other life-threatening conditions. […] Your healthcare provider may recommend healthy lifestyle changes or medicine first to treat symptoms, which may delay problems. Eventually, you may need to have your faulty heart valve repaired or replaced. After repair or replacement, youll still need certain medicines and regular checkups with your doctor. […] Your doctor may prescribe medicines to relieve the symptoms of your heart valve disease, prevent it from getting worse, or treat other heart problems that can affect your heart valves.
  • #55 Information on Heart Valve Repair & Replacement | Medtronic (CA)
    https://www.medtronic.com/ca-en/your-health/treatments-therapies/heart-valve-disease.html
    Mechanical valves in some patients have lasted as long as 25 years without problems. So, it is possible that your new artificial valve could last for the rest of your life. […] Fortunately, tissue valves wear out slowly so you and your doctor have time to plan for a new operation, if it is necessary. […] Let your other doctors and your dentist know that you’ve had heart valve surgery. Ask whether you should take antibiotics before surgical or dental procedures to help prevent valve infections. […] You should inform your doctor if you have had a heart valve replacement.
  • #56 Heart Valve Disease | UT Medical Center
    https://www.utmedicalcenter.org/treatments/heart-valve-disease
    Your doctor may recommend cardiac rehabilitation as a way to safely ease you into a supervised exercise program designed to improve your heart health. You will learn more about your condition and lifestyle strategies designed to prevent progression of heart disease. Most insurance programs cover cardiac rehabilitation services.
  • #57 Heart Valve Diagnosis & Treatment – Hearts4heart
    https://hearts4heart.org.au/heart-valve-diagnosis-treatment/
    Decisions about ongoing care for heart valve disease should be based on an individual’s needs. […] Shared decision-making means you have all the information you need to make decisions about the management of your condition with your health care professionals and your family. […] Incorporating a heart-healthy lifestyle will help your recovery, and help you both mentally and physically. […] The journey from diagnosis to treatment of heart valve disease can be a mental health challenge as much as a physical one.
  • #58 Treatment – Heart Valve Voice
    https://heartvalvevoice.com/heart-valve-disease/treatment/
    A Multidisciplinary Team (MDT) will review your case to determine the most appropriate treatment pathway. The MDT typically includes cardiologists, cardiothoracic surgeons, and other healthcare professionals who collaborate to ensure a comprehensive approach to your care. […] Your doctor will discuss the treatment options with you and recommend the most suitable approach based on your specific condition and overall health. […] Advancements in heart valve disease treatments continue to improve outcomes and quality of life. If you have concerns or symptoms of heart valve disease, consult with your healthcare provider to explore the best options for you. […] Traditionally, open heart surgery is used to repair or replace heart valves. This means that a large incision is made in the chest and the heart stopped for a time so that the surgeon can repair or replace the valve(s). Newer, less invasive techniques have been developed to replace or repair heart valves.
  • #59
    https://www.advocatehealth.com/health-services/advocate-heart-institute/programs-and-treatments/valvular-heart-disease-program
    Find a heart specialist […] The experts at our innovative heart valve clinics use a multidisciplinary approach in the diagnosis and treatment of valve and structural heart conditions, including aortic stenosis, mitral stenosis and regurgitation. This means you can count on the latest in medical therapies and in surgical, minimally invasive or transcatheter procedures. […] Our philosophy of care is holistic and built around shared decision-making with you, your family and your referring doctor. We do this to make sure you receive the highest quality care and the care thats right for you. […] When developing your treatment plan for valvular heart disease, well look at the type and severity of your condition. If you have a minor or less severe heart valve problem, we may recommend monitoring by your doctor with scheduled visits and medications. If the condition is more severe, we may recommend interventional procedures or surgery to repair or replace your heart valve.
  • #60 Heart Valve Disease: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
    The decision to prescribe medical treatment, surgical repair or surgical replacement depends on several factors, including: […] If you know about your valve disease before pregnancy, ask your healthcare provider if you should have tests or see a cardiologist before trying to become pregnant. […] Older people and those whose health isnt good to begin with have a higher risk of complications from valve replacement surgery. […] You may be in the hospital for about five to seven days after heart valve surgery. After that, it can take about four to eight weeks to recover.
  • #61 Heart Valve Disease: Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/heart/heart-valves/treatment
    Treatment options for your condition depend on the type of valve disease you have, the level of damage, your age, and your medical history. If your condition allows, your doctor may recommend lifestyle changes and medication and will continue to monitor your condition. […] If your condition is more serious, you may need heart valve surgery to repair or replace a heart valve that is not working properly. After heart valve surgery, youll continue taking medication. […] Your doctor may prescribe medicines to treat the symptoms of your heart valve disease and prevent your condition from worsening or treat other conditions that can affect your heart valves. […] Heart valve repair surgery is recommended if the valve can continue functioning after the procedure. In some cases, doctors use less invasive procedures to repair certain valves.
  • #62 Treatment | SCAI – Seconds Count
    https://www.secondscount.org/condition/heart-valve-disease/treatment
    If youve been diagnosed with heart valve disease, you may need treatment to feel better and to reduce your risk of heart failure, sudden cardiac arrest, and stroke. How you and your doctor treat your heart valve problem will depend on factors such as your age, type of heart valve disease, severity of the damage, symptoms, structure of your heart, other medical conditions, and lifestyle. […] Your doctor may prescribe medication as part of your treatment plan for your heart valve disease. Taking your medication exactly as prescribed is vital for doing everything you can to keep your heart valve disease under control. […] In some cases, heart valves can be repaired, while in others, they should be replaced. Depending on the nature and severity of your heart valve disease, your doctor may recommend one of the following procedures to repair or replace the problematic heart valve: […] The treatment of heart valve disease is constantly changing and improving as new techniques and devices are developed, tested, and approved. Several promising treatments are in the investigational stage but have not yet been approved by the U.S. Food and Drug Administration (FDA).
  • #63 Types of Heart Valve Disease – UChicago Medicine
    https://www.uchicagomedicine.org/conditions-services/heart-vascular/valve-disease/conditions-we-treat
    UChicago Medicine’s multidisciplinary team delivers the highest level of patient-centered care for structural and heart valve disease. […] We can provide novel ways to treat patients with a wide range of valve conditions, including: […] Patients with bicuspid aortic valve disease usually have an aortic valve repair or aortic valve replacement surgery to prevent further heart problems. […] Typically, surgery is needed to correct this issue. […] If the heart has weakened due to compensating for valve regurgitation, heart valve repair, valve replacement surgery or transcatheter mitral valve repair with MitraClip may be necessary to fix the issue. […] In severe cases, heart valve surgery or interventional procedures may be necessary to prevent serious health complications.
  • #64 Heart Valve Diseases – Treatment | NHLBI, NIH
    https://www.nhlbi.nih.gov/health/heart-valve-diseases/treatment
    NHLBI-funded scientists have developed new ways to make transcatheter aortic valve replacement (TAVR) surgery safer for high-risk patients. New TAVR techniques called BASILICA and LAMPOON will allow more patients with heart valve disease to be candidates for heart valve replacement without needing open-heart surgery.
  • #65 Valve Disease Treatment Program | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/valve-disease
    Physicians at Mass General Brigham Heart have revolutionized medical care for valve disease. Whether its a study of a new minimally-invasive valve repair surgery or an improvement to heart valve replacement, we are at the forefront of the latest discoveries, bringing clinical breakthroughs directly to our cardiology patients.
  • #66 Non-Surgical Treatments for Leaky Heart Valve
    https://baptisthealth.net/baptist-health-news/non-surgical-treatments-for-leaky-heart-valve
    For individuals who cannot undergo traditional open-heart surgery due to age or other health conditions, transcatheter procedures offer a promising non-surgical option. […] These procedures are generally safer than traditional open-heart surgery and have shorter recovery times, making them an excellent choice for patients with other health concerns or those at high surgical risk. […] Cardiac rehabilitation programs are designed to help patients with heart disease regain strength and improve heart function after a health event. […] Even though many non-surgical treatments can effectively manage a leaky heart valve, surgery may still be necessary in certain circumstances. […] If youve been diagnosed with a leaky heart valve, you dont necessarily need to be rushed into surgery. Non-surgical treatments, including medications, lifestyle changes, and minimally invasive procedures like TAVR, offer effective alternatives to traditional surgery. […] Early intervention and proactive management of a leaky heart valve can significantly improve quality of life, delay or eliminate the need for surgery, and ensure better long-term heart health.
  • #67 Understanding Your Heart Valve Treatment Options | American Heart Association
    https://www.heart.org/en/health-topics/heart-valve-problems-and-disease/understanding-your-heart-valve-treatment-options
    Most valve conditions can’t be treated with medication alone. However, sometimes the problem isn’t severe enough to require repair or valve replacement, but it’s bothersome enough to cause symptoms or risks. In these cases, a condition might be effectively managed for a while with medication. […] Heart valve disease is usually progressive. The outlook for those who receive no treatment can be poor. But many who do receive treatment go on to live very full and healthy lives, especially when their cardiovascular risks are otherwise low. […] Evidence is also clear that, with proper treatment, most people enjoy an improvement in health and quality of life. […] As with all surgeries, there are risks. Because every patient is different, your doctor and your health care team will discuss your treatment options and recommend the best option for you. […] People who have damaged, repaired or replaced heart valves are at increased risk for developing an infection of the valve, known as infective endocarditis.
  • #68 Valvular heart disease | Heart and Stroke Foundation
    https://www.heartandstroke.ca/heart-disease/conditions/valvular-heart-disease
    Many valvular heart diseases can be treated with medication, or surgery and other procedures to repair or replace the valve. […] Treatment depends on the severity of your valvular heart disease. If your heart valve problem is very minor you may not need any treatment at all. You will have regular check-ups to see if your condition gets any worse. […] Medication can be prescribed if your heart valve problem is causing symptoms. […] If your condition is more serious, you may need more intensive treatment. Options include valve repair or replacement in combination with medication. The approach taken will depend on your age, your general health, which valve is affected, and the type and severity of your condition. […] Medication cannot cure valvular heart disease, but it may relieve swelling, abnormal heart rhythm, high blood pressure and other symptoms.
  • #69 Treatment Options for Heart Valve Disease | Cedars-Sinai
    https://www.cedars-sinai.org/blog/treatment-options-heart-valve-disease.html
    Dr. Chikwe says that for patients with a heart disease, it’s important to seek out a cardiac surgeon who specializes in their specific heart valve condition. […] „If you have a mitral valve that leaks, you want a mitral valve surgeon,” Dr. Chikwe says. „If you have an aortic valve that needs replacing, you should consult an aortic valve surgeon.” […] You can increase your chances of having a successful heart valve repair to about 100%, depending on which specialist you choose for your operation, says Dr. Chikwe. […] Today, cardiac specialists are able to repair, rather than replace, a faulty mitral valve through minimally invasive surgery. Compared to replacing the valve, mitral valve repair is associated with better outcomes and faster recovery times. […] „Whenever possible, we repair rather than replace the valve,” says Dr. Chikwe. […] Patients who undergo minimally invasive surgery to repair or replace a heart valve are often able to recover in just a few weeks. […] „After heart surgery, you should feel much more able to do all the types of physical activities that you maybe weren’t able to do before,” Dr. Chikwe says.
  • #70 Treatment – Heart Valve Voice
    https://heartvalvevoice.com/heart-valve-disease/treatment/
    A Multidisciplinary Team (MDT) will review your case to determine the most appropriate treatment pathway. The MDT typically includes cardiologists, cardiothoracic surgeons, and other healthcare professionals who collaborate to ensure a comprehensive approach to your care. […] Your doctor will discuss the treatment options with you and recommend the most suitable approach based on your specific condition and overall health. […] Advancements in heart valve disease treatments continue to improve outcomes and quality of life. If you have concerns or symptoms of heart valve disease, consult with your healthcare provider to explore the best options for you. […] Traditionally, open heart surgery is used to repair or replace heart valves. This means that a large incision is made in the chest and the heart stopped for a time so that the surgeon can repair or replace the valve(s). Newer, less invasive techniques have been developed to replace or repair heart valves.
  • #71 Treating Heart Valve Disease | Providence
    https://www.providence.org/services/heart-and-vascular/heart-valve-disease
    We take a team-based approach to treating your heart valve disease. Why? Because we know this leads to the best results. Every Providence patient has access to world-class care from leaders in the field. […] Providence is well known for offering options and hope to patients seeking the most advanced therapies to treat heart valve disease. […] The expert cardiac teams at Providence use the most effective therapies to treat patients with every type of heart valve disease, including: Aortic stenosis, Aortic valve regurgitation, Heart infection (infective endocarditis), Heart murmurs, Mitral regurgitation, Rheumatic heart disease, Tricuspid valve regurgitation. […] We know that no two patients are the same. This is why your care team works with you to design an individualized treatment plan based specifically on your heart condition and your personal needs. Every treatment plan includes lifestyle changes to support your recovery and long-term heart health.
  • #72 Heart Valve Diagnosis & Treatment – Hearts4heart
    https://hearts4heart.org.au/heart-valve-diagnosis-treatment/
    Heart Valve Diagnosis Treatment […] A proper diagnosis is important when living with heart valve disease […] Heart valve disease is a condition that can be treated if discovered early, helping you to get back to a good quality of life. […] If diagnosed early, heart valve disease is treatable and you can live a full, happy life. Treatments for heart valve disease can include medicines and surgery. […] Medicines may be prescribed to reduce symptoms, maintain the heart’s rhythm, or lower the risk of blood clotting and stroke. […] Depending on your symptoms and the overall condition of your heart, your doctor may decide to repair existing heart valves or replace them entirely. […] Types of surgery for heart valve repair or replacement include: Open heart surgery, Minimally invasive valve disease surgery, Transcatheter aortic valve implantation (TAVI), Transcatheter mitral valve repair (MitraClip).