What is a mitral valve clip?
A mitral valve clip is a minimally invasive procedure to repair a damaged mitral heart valve that is no longer working efficiently. The mitral valve works just like a gate door, and is responsible for allowing blood to flow from the top left heart chamber to the bottom left heart chamber. If the gate door does not close tightly enough, there is a danger that blood will flow backwards into the upper chamber and back into your lungs. This is known as mitral regurgitation, and if left untreated it can potentially lead to heart failure. A mitral valve clip procedure is performed by accessing your heart through a vein. A special type of clip is attached to a catheter which is then guided to the mitral valve to perform the repair.
What does it do?
A mitral valve clip closes the valve at its weakest point, which allows a greater amount of blood to flow in the right direction. When the mitral valve is defective and does not close properly, blood can leak backwards into the lungs, causing unpleasant symptoms such as dizziness, breathlessness, and swelling in the legs. This means your heart has to work even harder to pump blood around the body, and the additional pressure can lead to serious heart conditions such as atrial fibrillation or heart failure.
How does it work?
The mitral valve clip is a minimally invasive procedure that avoids the need for open heart surgery. It works by repairing the faulty mitral valve which no longer functions efficiently. The mitral clip is guided into place through a leg vein using a catheter. Here, it is attached to the abnormal part of the valve, closing it tightly and minimising any further leaking. With a shorter recovery time and significantly less pain, the mitral valve clip procedure is often recommended for patients that are considered too high risk for surgery.
Why is it performed?
Mitral valve clip is generally performed in cases of mitral valve regurgitation, where open heart surgery is not considered a suitable option. Mitral regurgitation is a condition that generally worsens over time, leading to increasing and worsening symptoms that may include:
- Fatigue
- Swollen ankles or legs
- Palpitations
- Chest pain
- Breathlessness
Procedure
After a general anaesthetic is administered to help you sleep during the surgery, a catheter is inserted into a leg vein in your groin. A special type of X-ray imaging helps guide the catheter and mitral clip into position, before closing the clip on the heart valve’s weakest point using a technique known as ‘edge to edge’ repair. The operation usually takes between two to four hours.
Recovery
The recovery time after mitral valve clip procedure will vary by patient, with some able to return home the same day. Your medical team will provide you with a detailed discharge plan before you leave. Patients are likely to experience some immediate relief from mitral regurgitation symptoms after the operation.
What's next?
If you have been experiencing heart-related symptoms, book an appointment with our cardiac services specialist today.
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