Dr. Scott Goldman and his team lead one of the most experienced mitral valve repair centers in the country, with superior patient outcomes.
The mitral valve is a complex structure that controls blood flow through
the left side of the heart. When open, the mitral valve allows blood to
flow into the heart’s main pumping chamber, the left ventricle. When the
left ventricle contracts to push blood through the body, the mitral
valve closes to prevent blood from flowing back toward the lungs.
Sometimes the mitral valve is abnormal from birth or becomes damaged by
infection. More often, mitral valve structures become damaged with age
or from coronary artery disease.
Whatever the cause, an abnormal or damaged mitral valve cannot
completely seal the heart’s left ventricle. With an incomplete seal,
blood can escape the left ventricle and flow backwards through the
mitral valve. This conflicting force can make the heart work harder,
leading to further mitral valve damage and other potential complications
such as congestive heart failure.
Surgical Mitral Valve Repair
Surgical repair involves delicate reconstruction of native valve tissues
in order to restore proper function. The most common approach to repair
requires the surgeon to saw open the breastbone and spread the ribs to
gain direct access to the heart.
Cutting the sternum and opening the rib cage — the body’s natural
protective structure for the heart — can prolong healing time, increase
risk of infection, serious complications and even mortality.
Minimally Invasive Mitral Valve Repair
The treatment options available to a person with mitral valve disease
depend on the severity of the condition. Some patients may not require
any intervention, others may only need prescribed medications. Others
will require surgery; in the past, faulty mitral valves were replaced
with artificial valves. This required patients to take blood-thinning
agents for the rest of their lives and to make significant changes to
their active lifestyles.
At the Main Line Health Heart Center, our cutting edge surgeons use the
latest techniques and technology, including robotics, to repair the
heart valve instead of replacing it more than 90 percent of the time.
Mitral valve repair involves the surgeon reconstructing your valve using
your own tissue. To further ease recovery, the procedure is done without
the traditional open chest approach by making a small incision under the
right breast, which offers a direct view of the mitral valve. The
benefits of a mitral repair also last longer than those of a mitral
Dr. Scott Goldman has trained other surgeons from across the country
using this technique.
Some content on this page was provided by Intuitive Surgical. For more
information, visit www.intusurg.com.
For more information, call 1.866.CALL.MLH.