Heart valve replacement: types&procedure
Your heart pumps tirelessly, supported by four vital valves – aortic, mitral, tricuspid, and pulmonary. These valves regulate blood flow and ensure your body gets the oxygen it needs. However, with ageing, congenital defects, or conditions like infections and rheumatic fever, valves may become stiff, leaky, or narrowed, leading to serious complications.
In many cases, doctors first attempt valve repair. But when repair is not possible, heart valve surgery through valve replacement becomes the best option. This procedure restores normal blood flow, improves heart function, and reduces life-threatening risks.
What is heart valve replacement?
Heart valve replacement involves removing a damaged or diseased valve and replacing it with a biological or mechanical one. Some people are born with defective valves, while others develop problems such as aortic stenosis, mitral regurgitation, or tricuspid disease over time. When medications or repair procedures fail, valve replacement surgery offers a long-term solution.
Who needs heart valve surgery?
Patients may require surgery if they experience:
- Severe aortic stenosis (narrowing of the aortic valve)
- Mitral valve prolapse or regurgitation
- Tricuspid valve disease
- Congenital abnormalities or infective endocarditis
- Biological (tissue) valves Made from cow, pig, or donor human tissue, biological valves closely resemble natural valves. They provide smooth blood flow and usually don’t require lifelong use of blood thinners, though medication is prescribed for the initial few months. Their main limitation is durability, lasting around 10–20 years.
- Donor valve implantation (Allografts) Taken from a deceased donor, these valves are often used for conditions like infective endocarditis or in younger patients. Donor valves last 10–20 years and are key in procedures like the Ross operation.
- Mechanical valves Constructed from durable materials like metal or ceramic, these valves are built to last 20–30 years. However, since blood clots may form on them, patients require lifelong blood-thinning medication. With careful monitoring, mechanical valves provide excellent long-term results.