What Is a Valvotomy?
Valvuloplasty is the repair of a damaged valve. Valvuloplasty is usually used for mitral or tricuspid valves with mild lesions, and for severe heart valve disease, especially rheumatic heart valve disease, valve replacement is more commonly used. The main methods of valvuloplasty are Key's angioplasty, DeVega angioplasty, and C-ring angioplasty.
Heart valve surgery
- Valve replacement, replacement with artificial mechanical or biological valves.
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- Each valve patient should prioritize and choose the appropriate treatment.
- 1. No treatment is needed: Whether the valve is stenotic or incompletely closed, the disease is mild, the cardiac function is Grade I, and the left ventricular diameter is within the normal range. No treatment is required, but observation is required.
- 2, can not be operated: some operations are not beneficial to patients, or even harmful, they should not be treated. Behcet's syndrome, aortic valve replacement can cause valve avulsion, can not be operated, active arteritis, valve avulsion after operation, should be stabilized before surgery, dilated cardiomyopathy MI due to heart expansion, surgery It is not helpful to the patient, and it is not suitable for surgery.
- 3, elective surgery: most patients are of this type, and cardiac function is impaired, but can be alleviated by drug treatment. Such patients have good surgical results.
- 4. Limited-term surgery: Class IV cardiac function, general condition is poor, wasting, and cachexia. This patient has reached a marginal state and should be treated before hospitalization. After the symptoms improve, surgery is performed immediately, otherwise it will deteriorate again. Patients have high surgical mortality.
- 5. Emergency surgery: Acute valve dysfunction is a serious threat to life. Non-emergency surgery cannot save patients' lives. Such as: coronary heart disease, acute papillary muscle rupture, artificial mechanical valve dysfunction.