Lifespan after mitral valve surgery

Written by Zeng Xian Fu

General Surgery

Updated on September 08, 2024

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Mitral valve surgery includes mitral valve repair and mitral valve replacement repair. The life expectancy after mitral valve surgery is directly related to the patient's preoperative heart function. Patients with poor heart function or poor physical condition have worse prognoses after surgery. If the preoperative heart function and cardiac quality are good and the surgery is timely, the prognosis can be good, even reaching normal life expectancy. Conversely, if the preoperative heart function is poor and the overall physical condition is not good, the prognosis tends to be worse due to the patient's physical state. In general, the earlier the detection and the more timely the surgery, the better the prognosis. Therefore, if there is any growth, it is necessary to seek medical attention promptly.

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What are the symptoms of mild mitral regurgitation?

"Mild mitral regurgitation generally does not cause significant symptoms, and mild mitral regurgitation is often seen under physiological conditions. As age increases, due to aging and other reasons, mild regurgitation may occur in the mitral valve, which does not result in adverse consequences. However, sometimes mild mitral regurgitation may be caused by heart disease leading to heart enlargement and annular dilation. In such cases, it is crucial to actively treat the underlying heart disease to prevent further enlargement of the heart, which could worsen the mitral regurgitation. Therefore, when mild mitral regurgitation occurs, it is important to actively investigate the cause of the regurgitation."

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The reason for the formation of mitral stenosis pear-shaped heart

The heart undergoes a contraction cycle that begins once the ejection from the previous cycle is complete, necessitating the relaxation of the heart. As the heart relaxes, the mitral valve opens to allow blood to flow from the atrium to the ventricle, preparing for the next heartbeat. In patients with severe mitral stenosis, a significant reduction in the return volume of blood to the heart occurs. This reduction diminishes the pumping action of the ventricle, leading to disuse atrophy of the left ventricle. Normally, the left ventricle is relatively large and capable of maintaining a normal heart shape. When the left ventricle atrophies, it results in the heart having a flatter, more rounded apex, leading to a pear-shaped heart. If the ventricles are unable to efficiently reclaim blood, the load on the left atrium increases. Consequently, the left atrium enlarges, appearing larger at the top and smaller at the bottom in an X-ray, resembling a pear. This is how a pear-shaped heart is formed.

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Can mild mitral and tricuspid regurgitation be cured by taking medication?

If a patient frequently exhibits mild regurgitation of the mitral or tricuspid valve, it is advisable to go to the hospital for a cardiac echocardiogram, as this would help to further clarify the diagnosis. If the condition is related to heart valve disease, early stage treatment can involve using medications to improve ventricular rate, or to manage heart failure, thereby reducing the load on the heart. During this period, it is still necessary to actively monitor the patient's heart rate, blood pressure, and pulse changes. If the patient's heart rate is too fast or blood pressure is elevated, these symptoms need to be actively managed using medications. Because this disease can recur, medical treatment can only improve symptoms but is not curative; regular follow-ups are still required.

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Can mild regurgitation of the mitral and tricuspid valves be cured?

For the disease of mild regurgitation of the heart's mitral and tricuspid valves, which belongs to heart valve disorders, it can be improved with medication. However, this disease tends to recur, particularly in cases of upper respiratory tract infections or under the influence of inflammation, which can provoke the onset of this disease. This condition primarily manifests as symptoms like palpitations, chest tightness, and shortness of breath in patients. These symptoms especially include paroxysmal nocturnal dyspnea. Occasionally, there may also be swelling in the lower limbs. With aggressive medical treatment, these issues can be managed, but it is also advisable for patients to regularly come to the hospital for follow-up checks.

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Mild to moderate mitral stenosis, how long?

If the patient has mitral stenosis which is mild and progressing to moderate, it will take a year or even longer. Because if mild cases are aggressively managed with medication, it can slow the further progression of the disease. Mitral stenosis is a type of rheumatic heart disease or heart valve disease, mainly causing symptoms such as palpitations, chest tightness, and shortness of breath, with severe cases also presenting with swelling of the lower limbs. For mild mitral stenosis, it is necessary to have regular hospital check-ups, particularly to actively prevent upper respiratory tract infections, as sometimes these conditions can occur after catching cold, and actively controlling respiratory inflammation can improve symptoms.