Does severe mitral valve regurgitation require surgery?

Written by Li Hai Wen
Cardiology
Updated on September 09, 2024
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Severe mitral valve regurgitation requires surgical treatment, with options including mitral valve repair or replacement surgery. If left untreated, severe mitral regurgitation can lead to enlargement of the left ventricle and a reduction in the heart's ejection fraction, resulting in decreased pumping function and symptoms of heart failure. Patients may experience symptoms such as difficulty breathing, fatigue, and nocturnal paroxysmal dyspnea. Severe cases might even exhibit symptoms of acute left heart failure, such as orthopnea, profuse sweating, and coughing up pink frothy sputum. These symptoms typically necessitate hospitalization, which not only adds unnecessary financial burdens but also severely impacts the patient’s quality of life.

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Written by Di Zhi Yong
Cardiology
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Why does mitral stenosis cause thromboembolism?

Due to mitral stenosis, thrombus formation can sometimes occur, especially when ischemic cerebrovascular diseases lead to cerebral infarction. This is because mitral stenosis can cause emboli to dislodge and travel through the bloodstream to reach the cerebral arteries or veins, leading to thrombus formation. During this period, anticoagulant medications are sometimes used for treatment. If a patient has a history of mitral stenosis, it is necessary to actively use medications for treatment. During this time, it is also important to monitor changes in the patient’s heart rate, blood pressure, and pulse to control the ventricular rate. Currently, treatment is primarily symptomatic, aimed at improving cardiac function.

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Written by Li Hai Wen
Cardiology
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Does severe mitral valve regurgitation require surgery?

Severe mitral valve regurgitation requires surgical treatment, with options including mitral valve repair or replacement surgery. If left untreated, severe mitral regurgitation can lead to enlargement of the left ventricle and a reduction in the heart's ejection fraction, resulting in decreased pumping function and symptoms of heart failure. Patients may experience symptoms such as difficulty breathing, fatigue, and nocturnal paroxysmal dyspnea. Severe cases might even exhibit symptoms of acute left heart failure, such as orthopnea, profuse sweating, and coughing up pink frothy sputum. These symptoms typically necessitate hospitalization, which not only adds unnecessary financial burdens but also severely impacts the patient’s quality of life.

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Written by Chen Tian Hua
Cardiology
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Mild regurgitation of the mitral and tricuspid valves, what's the cause?

Mild regurgitation of the mitral and tricuspid valves, if seen in healthy individuals without related organic diseases, mainly occurs due to the physiological aging of the mitral and tricuspid valves as age increases. This results in slight insufficiency during ventricular contraction, leading to mild regurgitation. This condition is not pathological and does not require treatment, nor does it lead to adverse consequences. However, if the mild regurgitation of the mitral and tricuspid valves is accompanied by an organic disease that causes ventricular enlargement, the cardiac enlargement and annular dilation result in relative regurgitation due to the organic disease. It is necessary to actively control the underlying disease to prevent further enlargement of the heart, which could worsen the insufficiency and cause more blood regurgitation.

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Written by Di Zhi Yong
Cardiology
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Do young people have mitral valve regurgitation?

Mitral valve regurgitation is a type of congenital heart disease that tends to occur in children, adolescents, or the elderly. Young people can also develop mitral valve regurgitation. To diagnose this condition, an echocardiogram is necessary, as it allows for a more definitive diagnosis. In terms of treatment, symptomatic treatment is often primary, using cardiotonic diuretics to improve the patient's heart function. During this period, it is important to monitor changes in the patient's vital signs, especially heart rate, pulse, and blood pressure. If the heart rate is too fast, efforts should sometimes be made to actively control ventricular force, thereby reducing the load on the heart.

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Written by Di Zhi Yong
Cardiology
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Can people with mitral stenosis have children?

If the patient has mitral stenosis, the decision on whether to have children should be based on the size and extent of the narrowing. This is because, in the late stages of pregnancy, this condition can be life-threatening, especially as it can lead to heart failure. This occurs because blood volume increases and the heart is overloaded, which is very dangerous. It can cause the fetus to develop certain diseases due to ischemia and hypoxia, potentially endangering its life. Since mitral stenosis is a type of congenital heart disease, surgical treatment is sometimes necessary to alleviate the condition. The decision to have children can vary depending on individual differences and is not absolute. If the symptoms are severe, it is recommended not to have children.