Minimally invasive aortic-valve-switching operation
}November 27, 2021
jDr.. Muhannad Al-Khatib

Minimally invasive aortic valve replacement

}November 27, 2021
jDr.. Muhannad Al-Khatib

Minimally invasive aortic valve replacement

Table of Contents

    Minimally invasive aortic valve replacement surgery is performed in Turkey to treat aortic valve problems and improve quality of life with a minimally invasive heart surgery procedure.

    Minimally invasive aortic valve replacement

    Minimally invasive aortic valve replacement

    Overview

    The aortic valve (or what is known as the aortic valve) consists of three leaves, and it controls the flow of blood from the left ventricle of the heart to the aorta, which in turn transports oxygen-laden blood to all parts of the body, where the aortic heart valve opens to allow blood to pass from the heart to the aorta and then It closes to prevent it from going back in the opposite direction, and this happens in every cardiac cycle.

    The aortic valve may be injured or damaged, making it hard and narrow, and it does not open well, and the amount of blood leaving the heart into the aorta decreases. to the heart, and this is known as “aortic valve insufficiency.”

    All of these problems increase the amount of blood in the left ventricle leading to mitral valve failure and push the heart to pump more and cause an overload of it, and often the condition gradually develops into heart failure in the absence of treatment.

    The most common aortic valve problem in the elderly is degenerative valve stenosis; As the valve leaflets become gradually calcified and fibrous, which leads to its stenosis. In young patients, the bilecular aortic valve is the most common problem, which also leads to stenosis of the aortic valve.

    Minimally invasive aortic valve replacement (MIAVR) is surgery to replace a poorly functioning aortic valve with a non-functioning aortic valve replacement. open heart surgeryIt is called “minimally invasive” because it requires a much smaller surgical incision than the surgical incision in Open aortic valve replacement surgery.

    has shown Studies The survival rate after one year of minimally invasive aortic valve replacement was 98% and after three years 94%, this indicates the effectiveness of this procedure in treating aortic heart valve problems.

    Benefits of Minimally Invasive Aortic Valve Replacement

    The operation to replace the aortic valve using Minimally invasive surgery In Turkey, it has developed greatly in recent years because it has several advantages that make it preferred over open surgeryAmong these features are:

    • Smaller incision and therefore a smaller post-operative scar
    • less bleeding
    • Less risk of sepsis
    • Less pain after the operation
    • Shorter hospital stay (usually 3 to 4 days)
    • Heal and get back to work faster

    However, this procedure is not suitable for all patients with aortic valve, as it is compatible with 85% to 90% of them, and this is related to heart function, chest anatomy and comorbidities.

    The doctors will Bimaristan Medical Center Assisting patients in choosing the optimal procedure for them.

    Preparing for a minimally invasive aortic valve replacement

    When the patient decides to have a minimally invasive aortic valve replacement, he will be asked to do a few things to prepare for the surgery and keep the risk factors to a minimum. This includes the following instructions:

    • Starting to eat healthy balanced food and stop smoking weeks before the operation; This is to prepare the body and lungs for anesthesia and surgery.
    • stop taking some medications before the operation; Therefore, the patient must inform his doctor of all the medications he is taking, for example, blood-thinning drugs increase the amount of bleeding during the operation.
    • stop eating and drinking from midnight before the operation; This is because a full stomach increases the incidence of vomiting during surgery and subsequent inhalational injuries.

    Contact your doctor at Pemastan Medical Center To answer any question that comes to your mind regarding the aortic valve change operation, and to schedule an appointment to come to the hospital for the operation.

    You may need to do some tests just before the procedure, such as blood tests, a simple chest X-ray, and an electrocardiogram, to make sure you are ready for the operation.

    How Minimally Invasive Aortic Valve Replacement Is Performed in Turkey

    When the aortic valve does not function properly, it is necessary to perform surgery to replace it, relieve symptoms and prolong the life expectancy of the patient. The choice of the type of replacement valve (artificial or bio) before the surgery is necessary and depends on the age, comorbidities and the patient's desire.

    At first, the patient is placed under general anesthesia before any intervention is performed, meaning that the patient will be deeply asleep throughout the operation and will not feel anything during it.

    Minimally invasive aortic valve replacement surgery takes about two hours, and this varies according to the minimally invasive technique used for the procedure. Friends and family should stay in the waiting room until the operation is completed, where the surgeon will inform them of the procedure.

    There are several ways to perform a minimally invasive aortic valve replacement, all of which need to connect the patient to a heart-lung bypass machine to stop the heart during the procedure.

    The surgeon will remove the old aortic valve and replace it with the new one, then the heart will be allowed to gradually restore its function of pumping blood and the cardiopulmonary bypass device will be removed and the surgical incision will be sutured, and for more details see the operation bthe video.

    Options for Minimally Invasive Aortic Valve Replacement in Turkey

    that Open aortic valve replacement surgery It requires a surgical incision of approximately 20 cm in length in the sternum and the use of a cardiopulmonary bypass device to stop the heart during surgery. As for the minimally invasive aortic valve replacement, there are several methods available in Turkey to perform it:

    1. A small incision is made in the upper section of the sternum with a length of 5-8 cm (3-2 inches). All surgical steps are performed directly through this small incision with long surgical tools. The heart is routinely connected directly to the cardiopulmonary bypass machine.
    2. A small incision is made (called a keyhole) between the second and third ribs of the right sternum, 5-8 cm (3-2 inches) long, through which the heart is accessed. This procedure is usually accompanied by a small incision in the groin to connect the patient to the cardiopulmonary bypass machine. .
      Available options for aortic valve replacement

      Available options for aortic valve replacement

    3. Robotic aortic valve replacement; In this technique, several very small surgical incisions are made and robotic arms are inserted through them. The surgeon controls these arms remotely by a special computer in the operating room showing a three-dimensional image of the heart and aortic valve. This technique is also accompanied by a small incision in the groin to connect the patient to a device Cardiopulmonary bypass.
      Robotic Aortic Valve Replacement

      Robotic Aortic Valve Replacement

    4. Transcatheter Aortic Valve Replacement (TAVR); This method is a minimally invasive technique because it does not require an open heart operation to perform it. The replacement aortic valve is inserted through the catheter and placed over the old valve without the need to stop the heart and use a cardiopulmonary bypass machine.

    Risks that may occur during minimally invasive aortic valve replacement

    There are always risks when performing any surgery, and these risks differ from person to person according to their age and health condition.

    The minimally invasive procedure may not be available to all patients, so it can be performed open heart surgery in order to Traditional aortic valve replacement.

    Although most of the people who performed minimally invasive aortic valve replacement surgery had successful results and an improvement in the general condition, there are risks and complications from performing this operation like other operations, and these complications are:

    • sepsis
    • bleeding
    • Kidney damage
    • cerebral stroke
    • Heart attack
    • Arrhythmia
    • Complications from anesthesia
    • Pneumonic
    • death (rarely)

    There are also risk factors that may increase the risk of performing the operation on a patient with an aortic valve, including:

    • Chronic diseases such as diabetes, hypertension and chronic kidney problems
    • other heart diseases; This includes coronary artery disease, for example
    • Lung problems and smoking
    • obesity
    • aging
    • infections

    The doctor will take all these risks into consideration and discuss with the patient the possibility of performing the surgery and the best way to perform it.

    Recovery after minimally invasive aortic valve replacement

    Immediately after the surgery, the patient will be transferred to the intensive care unit (ICU) for one day, during which the patient will be connected to several devices and monitor the patient's vital signs, and then he will be transferred to a normal room in the hospital to stay for several days.

    The patient will be encouraged to get out of bed and sit on a chair shortly after the operation, and after a day or two the patient should be able to walk with assistance.

     The recovery time after the operation depends on the type of procedure used and the general health of the patient before the operation and the occurrence of complications. The doctor may prescribe some medications for the patient as pain relievers.
    The doctor will also advise him not to drive or carry anything heavy for several weeks after the operation, and he will tell him when to return to daily activities.

    The patient must follow all doctor's instructions regarding medications, exercise, diet, and wound care, and must attend follow-up sessions to evaluate and monitor the condition.

    Why should I choose treatment in Turkey?

    Recently, Turkey has become one of the leading countries in the field of medical tourism in the world.
    The reason for this is due to the presence of advanced medical centers that provide appropriate treatment by the most skilled doctors and the latest medical devices at a low cost.
    and stay Bimaristan Medical Center It is your first choice For treatment in Turkey.
    We guide you to the best expert specialists in all departments.
    We facilitate the language of communication between you and everyone through specialized Arab doctors who will help you communicate with your doctor.
    We help you secure the right treatment and high-end service in the most modern hospitals and medical centers in Turkey.
    We provide our services extensively and precisely.
    We accompany you step by step towards recovery.
    Free consultations around the clock.
    don't hesitate toContact usBimaristan, your family center in Turkey.

    Frequently asked questions about minimally invasive aortic valve replacement

    How long does minimally invasive aortic valve replacement surgery take in Turkey?

    Minimally invasive aortic valve replacement surgery takes about two hours, and this varies depending on the minimally invasive technique used to perform the procedure.

    How long does it take for a patient to recover after minimally invasive aortic valve replacement surgery?

    The patient recovers and returns to daily life about 2-4 weeks after the minimally invasive surgery, while it takes about 6-12 weeks when the aortic heart valve is replaced with open surgery. 

    What are the long-term consequences of minimally invasive aortic valve replacement?

    Studies have shown that the survival rate after one year of this procedure was 98%, and after three years 94%, this indicates the effectiveness of this procedure in treating aortic valve problems.

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