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Minimally Invasive Surgery

Minimally Invasive Robotic Surgery for Mitral Valve Prolapse

What is Mitral Valve Disease?

There are four valves within your heart. They are the mitral, tricuspid, aortic and pulmonic valves. The mitral valve lies between the left atrium (upper heart chamber) and the left ventricle (lower heart chamber). 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 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.
  • Whatever the cause for the disease, an abnormal or damaged mitral valve cannot completely seal the heart's left ventricle. This is called prolapse.
  • With an incomplete seal, blood can escape the left ventricle and flow backwards through the mitral valve back into the atrium a condition called regurgitation. This conflicting force can make the heart work harder, leading to further mitral valve damage and other potential complications such as congestive heart failure.

About the Treatment

The treatment options with mitral valve prolapse depend on the severity of the patient's condition.  Some patients may not require any intervention.  Other patients may be prescribed medications.  If a patient's symptoms are severe, mitral valve prolapse surgery may be recommended. There are two basic types of valve prolapse surgery:

 
Replacement: This procedure has less successful outcomes, which causes patients and their physicians to opt for repair.

Repair: In cases where repair is not possible, replacement is performed using the patient's own tissue, an artificial valve or a valve obtained from a pig's heart.

How Mitral Valve is Done

The most common approach to mitral valve surgery requires the breastbone to be cut open and the ribs spread to gain direct access to the heart. Cutting the sternum and opening the rib cage can prolong healing time and increase risk of infection and serious complications.

  • With the advent of minimally invasive robotic surgery, new technology became available involving less trauma, less pain and faster recovery - the da Vinci® Surgical System.
  • With minimally invasive robotic surgery, surgeons use da Vinci's remote-controlled robotic arms to perform the procedure, making small incisions in the side of the chest without opening the chest.
  • Ports are used to pass materials into the chest like a video camera and two or three additional robotic instruments.




Potential Patient Benefits

There are a number of potential benefits for the patient. These include:

  • Less post-operative pain.
  • Less risk of infection.
  • Less anesthesia.
  • Less blood loss.
  • Shorter hospital stay.
  • Faster and more complete recovery.
  • Quicker return to normal daily activities.


    Clinical Reference
  • Endoscopic robotic mitral valve surgery, Douglas A. Murphy, MD, Jeffrey S. Miller, MD, David A. Langford, MD, and Averel B. Snyder, MD, American Journal of Thoracic and Cardiothoracic Surgery, October 2006.

For more information about robotic surgery, call 1-866-250-STJO or click here .




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