Aortic valve repair and replacement consultation at Mayo Clinic Your Mayo Clinic treatment team will provide ongoing, coordinated care after aortic valve surgery. Share on: Facebook Twitter. Show references Aldea G. Minimally invasive aortic and mitral valve surgery.
Accessed Dec. Options for heart valve replacement. American Heart Association. Types of replacement heart valves. Levine GN, ed. Transcatheter aortic valve replacement. In: Cardiology Secrets. Saunders Elsevier; Accessed Nov. Bicuspid aortic valve. Mayo Clinic; Nishimura RA, et al. Armstrong GP. Aortic regurgitation. Merck Manual Professional Version. Aortic stenosis. Gaash W. Indications for valve replacement in aortic stenosis in adults.
Braverman AC. Management of adults with bicuspid aortic valve disease. Heart valve disease. National Heart, Lung, and Blood Institute. Options and considerations for heart valve surgery. Newer heart valve surgery options. Bonow RO, et al. Aortic valve disease. Sellke FW, et al. Atlas of Cardiac Surgical Techniques.
Elsevier; Brown AY. Allscripts EPSI. Mayo Clinic. Jan 21, Aortic valve regurgitation adult. Gatzoulis MA, et al. As you plan for the surgery, you and your healthcare provider will decide what kind of valve will work best for you. Your surgeon will replace your valve with a biological valve or a mechanical valve. Talk with your healthcare provider about how to prepare for your upcoming surgery. Remember the following:. You may arrive at the hospital the afternoon before your operation. This is a good time to ask any questions you have about the procedure.
You may need some routine tests before the procedure to assess your health before surgery. These may include:. About an hour before the operation, someone will give you medicines to help you relax. In most cases your surgery will proceed as planned, but sometimes another emergency might delay your operation.
Check with your doctor about the details of your procedure. In general, during your open aortic valve replacement:. Health Home Treatments, Tests and Therapies. Why might I need an open aortic valve replacement? In aortic stenosis, your valve is unable to open fully, and less blood is able to exit your heart. In aortic regurgitation, your valve is leaky. Some blood leaks backward through the valve instead of moving out to the rest of your body.
A poorly working aortic valve may lead to symptoms, such as: Shortness of breath Fatigue Swelling in your legs Dizziness Chest pain Passing out An unpleasant awareness of your heartbeat If these symptoms get worse, surgery may be needed.
Other causes of aortic valve disease include: Heart birth defects like a bicuspid aortic valve Bacterial infection of the heart valve A tear in the aorta Aortic aneurysm weakened, stretched aorta wall Certain genetic conditions like Marfan syndrome What are the risks of an open aortic valve replacement?
These include: Infection Bleeding Irregular heart rhythms Blood clots leading to stroke or heart attack Complications from anesthesia Certain factors increase the risk of complications. Some of these are as follows: Chronic illness Other heart conditions Lung problems Increased age Being overweight Being a smoker Infections How do I get ready for an open aortic valve replacement?
Biological valves are made mainly from pig, cow, or human heart tissue. Mechanical valves are man-made. People with mechanical valves need to take blood-thinning medicines for the rest of their lives because of the risk for blood clots. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Gaasch WH, et al.
Indications for valve replacement in aortic stenosis in adults. Accessed Aug. What is heart valve disease? National Heart, Lung, and Blood Institute. What is TAVR? American Heart Association. Aortic stenosis adult. Mayo Clinic; Otto CM, et al. Journal of the American College of Cardiology. Medical management of symptomatic aortic stenosis.
Cormican D, et al. TAVR procedural volumes and patient outcomes: Analysis of recent data. Journal of Cardiothoracic and Vascular Anesthesia. Dalby M, et al. Transcatheter aortic valve replacement: Complications. Kolte D, et al. Office of Patient Education. Transcatheter aortic valve replacement. Phillips SD expert opinion. Mayo Clinic. An aortic valve replacement is a type of open heart surgery used to treat problems with the heart's aortic valve. An aortic valve replacement involves removing a faulty or damaged valve and replacing it with a new valve made from synthetic materials or animal tissue.
It's a major operation that isn't suitable for everyone and can take a long time to recover from. The problems can get worse over time and in severe cases can lead to life-threatening problems such as heart failure if left untreated. There are no medicines to treat aortic valve problems, so replacing the valve will be recommended if you're at risk of serious complications but are otherwise well enough to have surgery.
Find out more about why aortic valve replacements are carried out. An aortic valve replacement is carried out under general anaesthetic. The operation usually takes a few hours.
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