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Home > Our Services > Conditions and Treatments > Aortic Valve Repair

Aortic Valve Repair

 

 


 

 

Overview

 

Aortic Valve Repair is a surgical procedure that is used to correct some aortic valve disorders and is an alternative choice to Aortic Valve Replacement. However, it is not performed as often due to its difficulty as compared to mitral valve repair. There are two surgical techniques of aortic-valve repair:

 

  • David Procedure: Reimplantation
    • replacement of aortic root without replacing the aortic valve
  • Yacoub Procedure: Remodeling
    • sewing of the graft to the remaining aorta wall
 

 

 

Why do you need this surgery?

 

The need for this surgery will be based on the recommendations of your medical care team. It will be based on your symptoms and on your test results (eg. ECG or a cardiac catheterization etc). Aortic Valve Repair is necessary when the aortic valve is narrowed or too narrow. This causes the ventricle to work harder to pump the blood out to the body.  This extra effort uses a significant amount of energy. If insufficient blood flows to the heart, you will suffer from chest pain. The same situation occurs when the aortic valve leaks.

 

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How should you prepare for the surgery?

 

  • Stop smoking if you are a smoker. You should stop smoking because smoking is a risk factor for coronary heart disease. Your heart disease will not improve if you continue to smoke. It also increases your risk of complications from the surgery.
  • Talk to your doctor or other people who have had the surgery. Knowing what to expect may help reduce your anxiety before the operation.
  • Plan for your care and recovery after the operation. Allow for time to rest, and try to get help for you day-to-day activities.
 
 

 

 

What happens during the surgery?

 

  • You will be asked to put on a surgical gown on the morning of your operation
  • General anaesthesia will be given to you and you will be asleep for the entire operation
  • Your breast bone will be divided
  • For access to the aortic valve, an incision will be made in the aorta.
  • Depending on whether it is a remodeling or reimplantation, the appropriate valve is selected and secured using sutures.
  • The aorta is then closed.
  • Blood is then allowed to flow into the coronary arteries.
  • Should there be a need, pacing wires may be left to control irregular heartbeat.
 

 

 

What are the potential risks or complications?

 

  • There are always some risks when you have general anaesthesia. Discuss these risks with your doctor
  • Risks are dependent on age, medical conditions, your health condition and your heart function.
 

 

What happens after the surgery?

 

  • You will be recovering in the CCU (Coronary Care Unit) after the surgery where you will receive specialized care and monitoring
  • Expect to remain in the hospital for five to seven days.
 

 

 

Home care

 

  • Have a relative or friend to pick you up on the day of your discharge
  • You will be advised to walk or do light physical activities to regain strength and return to normal lifestyle.

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