The mitral valve controls blood flow through the left side
of the heart. When it opens, the mitral valve allows blood
to flow into the left ventricle -- the heart’s main
pumping chamber. When the left ventricle contracts, the mitral
valve closes in order to prevent blood from flowing back toward
the lungs.
Sometimes the mitral valve is abnormal from birth. It can
also become damaged by infection, with age or from heart disease.
If the mitral valve leaflets cannot tightly seal the left
ventricle, this is called prolapse. With mitral valve prolapse,
some blood flows back into the atrium – a condition
called regurgitation. Regurgitation can make the heart work
harder, leading to further valve damage and increasing the
risk of heart failure.
The treatment options available to a person with mitral
valve prolapse depend on the severity of the condition. Some
patients may not require any intervention. Others may be prescribed
medications.
However, if your symptoms become severe, your doctor may
recommend mitral valve prolapse surgery. There are two basic
types of valve prolapse surgery: valve repair and valve replacement.
In valve replacement, your surgeon cuts out the damaged valve
and replaces it with a new, artificial valve. Valve repair
involves the surgeon reconstructing your valve using your
own tissues.
A new category of minimally invasive surgery, utilizing
the robotic assistance of the da Vinci® Surgical System,
is rewriting the book on mitral valve prolapse surgery. Learn
more about da Vinci Mitral Valve Prolapse Surgery to help
determine if it is the right option for you.
Always ask your doctor about all treatment options, as well
as their risks and benefits.
If your doctor recommends surgery to treat mitral valve
prolapse, you may be a candidate for da Vinci® Mitral
Valve Repair, potentially the most effective least invasive
treatment option available.
da Vinci Mitral Valve Repair is an alternative to conventional
open heart surgery – the traditional way to treat mitral
valve disease. da Vinci Mitral Valve Repair is performed using
the da Vinci Surgical System, enabling your surgeon to operate
with unparalleled precision and control through a few small
incisions.

da Vinci can help your surgeon repair your valve and help
you avoid mitral valve replacement, in which your natural
valve tissues are cut away and replaced with an artificial
valve. This is important because a repair can provide you
with many significant advantages as compared with mitral valve
replacement, including no need to take life-long blood thinners,
less need for reoperation1,2, reduced risk of surgical complications3,
a higher long-term survival rate4,5,6, and improved heart
function4. A recent study suggests that the da Vinci System
may allow surgeons to complete 50% more repairs than they
can when using an open surgical approach.7
In addition to avoiding the pain and trauma of sternotomy
and rib spreading, da Vinci Mitral Valve Repair provides most
patients with the following benefits over open surgery:
- Less risk of infection
- Less blood loss and need for blood
transfusions
- Shorter hospital stay
- Significantly less pain and scarring
- Faster recovery
- Quicker return to normal activities.
- And a potentially better
clinical outcome
As with any surgery, these benefits cannot be guaranteed,
as surgery is both patient- and procedure-specific. While
da Vinci Mitral Valve Repair is considered safe and effective,
it may not be appropriate for every individual. Always ask
your doctor about all treatment options, as well as their
risks and benefits.
- Rodgers, E. Heart valve repair or replacement
for mitral valve regurgitation or prolapse. WebMD. March
10, 2005 Bach DS. Choice of prosthetic heart valves:update
for the next generation. J Am Coll Cardiol. 2003 Nov 19;42(10):1717-9.
- Ruel
M, Kulik A, Rubens FD, Bedard P, Masters RG, Pipe AL, Mesana
TG. Late incidence and determinants of reoperation in patients
with prosthetic heart valves. Eur J Cardiothorac Surg.
2004 Mar;25(3):364-70.
- Thourani VH, Weintraub WS, Guyton RA, et
al. Outcomes and Long-Term Survival for Patients Undergoing
Mitral Valve Repair Versus Replacement. Circulation. 2003;108:298-304
(Emory University Atlanta)
- Enriquez-Sarano M, Schaff HV,
Orszulak TA, Tajik AJ, Bailey KR, Frye RL: Valve repair
improves the outcome of surgery for mitral regurgitation:
a long-term study. Circulation. 1995; 91:1022-8
- Gillinov
AM, Wierup PN, Blackstone EH, et al. Is Repair Preferable
to Replacement for Ischemic Mitral Regurgitation? J Thorac
Cardiovasc Surg 2001 Dec; 122(6):1125-41 (Cleveland Clinic)
- Grossi
E, Goldberg J, LaPietra A, et al. Ischemic mitral valve
reconstruction and replacement: Comparison of long term
survival and complications. J Thorac Cardiovasc Surg 2001
Dec; 122(6):1107-24 (NYU)
- 96.2% received a repair with da
Vinci Surgery, as reported by Douglas Murphy, MD, compared
to 60% of patients in the Fall 2005 Sternotomy database,
where 42,000 out of 70,000 received a replacement. See
Society for Thoracic Surgeons & Duke
Clinical Research Institute. Executive Summary. STS Fall
2005 Report. Murphy D, Smith M, Siwek L, Langford D, Robinson
JR, Reynolds B, Seshadri-Kreaden U, Engel A. Multicenter
Mitral Valve Study: a Lateral Approach using the da Vinci
Surgical System. Pending publication. Data on file with
Intuitive Surgical, Inc.
While clinical studies support the effectiveness of
the da Vinci® System when used in minimally invasive
surgery, individual results may vary. Surgery with the
da Vinci Surgical System may not be appropriate for every
individual. Always ask your doctor about all treatment
options, as well as their risks and benefits.
For additional information on minimally invasive surgery
with the da Vinci® Surgical System visit www.davincisurgery.com |
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