- Home
- Services
- Cardiac Services
- Procedures and Treatments
- Aortic Valve Replacement
What is an aortic valve replacement?
Aortic valve replacement is a type of open-heart surgery that is used to treat problems with the aortic heart valve. The aortic valve is responsible for transporting blood around your body. If it is not working effectively as a result of age, damage or disease, this can place additional pressure on your heart which over time can lead to heart damage and painful symptoms. If you have a diseased aortic valve, your doctor may recommend aortic valve replacement surgery to replace the faulty valve with an artificial alternative, and protect your heart health for the future.
What does it do?
Aortic valve replacement surgery removes a faulty or diseased aortic valve and replaces it with an artificial part that is usually made from synthetic material or animal tissue. When the aortic valve is not functioning properly as a result of aortic valve disease, the impact on your heart can lead to life-threatening heart damage. Replacing the aortic valve can protect your heart function and improve your quality of life. It is typically performed as open-heart surgery, but in some cases it may be performed as a minimally invasive procedure known as Transcatheter Aortic Valve Implantation (TAVI).
How does it work?
Aortic valve replacement surgery removes a faulty aortic valve and replaces it with an artificial part. This procedure is an effective way to treat aortic valve disease, improve heart function and reduce the risk of heart-related health complications such as heart failure and stroke. The type of surgery performed will depend on the severity of the condition and the health of the patient coming into the procedure. It is generally performed as open-heart surgery or as a minimally invasive procedure (TAVI). Your doctor will talk to you about the most suitable approach for your condition.
Why is it performed?
Your doctor may recommend aortic valve replacement surgery if the aortic valve is no longer functioning effectively. The aortic valve is responsible for controlling the flow of blood from the heart to the rest of your body. If it does not open and close efficiently, blood may flow backwards into the heart (regurgitation) which pressures the muscle to work even harder. Additionally, if the aortic valve has become narrowed (stenosis), this can prevent enough blood from flowing out of the heart and reaching the rest of your body. This will also put pressure on the heart.
Procedure
Aortic valve replacement surgery is typically carried out under a general anaesthetic and may take several hours. Your doctor will talk to you about the best type of replacement valve, and whether you are better suited to a mechanical valve made from carbon or steel, or a replacement valve made from animal tissue.
- After the anaesthetic has been administered, a large cut is made in the chest to access the aortic valve
- The heart is stopped and supported by a heart-lung bypass machine
- The faulty valve is removed, and an artificial aortic valve is sewn in its place
- The chest is reconnected using wires
- The heart is restarted, and the wound is closed and dressed
Recovery
Recovery from aortic valve replacement surgery will vary by patient and will depend upon your health coming into the operation. You are likely to stay in hospital for a few days after surgery, and your medical team will provide specific advice about your individual rehabilitation upon discharge. A full recovery may take up to 12 weeks.
What's next?
If you have been experiencing heart-related symptoms, book an appointment with our cardiac services specialist today.
Our specialists in Cardiac Services
View all specialists