Hanyang Med Rev.  2007 May;27(2):18-27.

Artificial Heart Valve Replacement

• Choi JB

Abstract

Since the first valve replacement was performed by Albert Starr more than 4 decades ago, the operative technique has remained largely the same. Differences in surgical technique have more to do with surgeon's preference than difference in long-term outcome. The common cause of valvular heart disease was changed from rheumatic disease to degenerative disease. Indications for intervention on the valves have become more clearly defined, however, the appropriateness of repair versus replacement remains an issue. The most significant change in treatment of patients with advanced valve pathology has resulted from the realization that most degenerative mitral valves with severe regurgitation can be repaired with precision and durability. Replacement remains the standard of care for patients with severe rheumatic mitral pathology and most aortic valve pathology. Important technical issues regarding artificial valve replacement concern the surgical approach, method, and extent of valvular pathology, and management of an extensive calcified mitral annulus and a small aortic root.

Keyword

Heart valve prosthesis; Heart valve prosthesis implantation

MeSH Terms

Aortic Valve
Heart Valve Diseases
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation
Heart, Artificial*
Humans
Mitral Valve
Pathology
Rheumatic Diseases
Standard of Care