Is it dangerous to have heart valve surgery?

In fact, heart surgery is quite risky, so no matter it is a minor operation or a major operation, the patient must undergo a period of examination before going for it, so that it can be clear whether his or her body is suitable for the operation. However, there is actually no strict restriction on the patient's age, it just needs to be judged based on the patient's resistance.

The indications for artificial heart valve replacement surgery are mainly based on the degree of damage to the patient's heart valve. Patients with severe valvular disease who are unable to undergo valve reconstruction surgery should strive to undergo valve replacement surgery as long as their general condition permits. There is no absolute limit on the patient's age. The most common lesions are as follows:

⒈ Mitral stenosis: If the valve leaflets are well movable and only adhesions at the commissures or mild subvalvular damage are present, closed dilatation or open-vavular angioplasty can be performed. If the valve is calcified or funnel-shaped, valve replacement surgery may be necessary.

⒉ Mitral regurgitation: Patients with enlarged mitral valve ring or curled valve leaflets limited to the commissural area can strive to undergo direct vision regurgitation surgery. If leaflet perforation, chordae tendineae rupture, etc. are difficult to completely correct with plastic surgery or the plastic surgery fails, mitral valve replacement surgery should be performed. Most cases of mitral stenosis combined with mitral regurgitation require valve replacement.

⒊Tricuspid valve damage: Tricuspid valve replacement surgery is usually not performed. Valve replacement surgery is only performed when the disease is severe.

⒋ Aortic valve stenosis: Congenital aortic valve stenosis can often be treated with direct vision incision surgery in adolescence. Aortic valve stenosis in middle-aged and elderly people is mostly caused by calcification on the basis of congenital bicuspid aortic valve malformation. Aortic valve replacement surgery is needed.

⒌ Aortic valve insufficiency: Aortic valve insufficiency can be caused by valve ring enlargement, valve leaflet tearing and perforation, curling or prolapse. Valve replacement surgery is usually done. Aortic valve repair surgery is only possible for mild cases of aortic valve prolapse.

⒍Pulmonary valve disease: Most of them are congenital malformations and rarely require valve replacement. Valved conduit right ventricle-pulmonary artery bypass surgery is often required.

Relative contraindications for artificial heart valve replacement surgery: uncontrolled rheumatic activity or control for less than 3 months; patients with heart failure and myocardial ischemic damage such as advanced aortic valve stenosis. If heart function improves, we will still try to have surgery. Patients whose liver, kidney function or general condition is too poor to undergo surgery. Patients with bacterial endocarditis who have developed sepsis and multiple infections are not suitable for surgery. [1]