Aortic Valve Replacement Surgery
Aortic Valve Replacement SurgerySkip to the navigationSurgery OverviewSurgery to replace an aortic valve is done for aortic valve stenosis and aortic valve regurgitation. During this surgery, the damaged valve is removed and replaced with an
artificial valve. The valve replacement is typically an open-heart surgery. A minimally invasive surgery or a catheter procedure to replace the aortic valve may be an option for some people. How is the surgery done?During open-heart valve surgery, the doctor makes a large incision in the chest. Blood is circulated outside of the body through a machine
to add oxygen to it (cardiopulmonary bypass or heart-lung machine). The heart
may be cooled to slow or stop the heartbeat so that the heart is protected from
damage while surgery is done to replace the valve with an artificial valve. The artificial valve might be mechanical (made
of man-made substances). Others are made out of animal tissue, often from a
pig. What To Expect After SurgeryYou will recover in the hospital until you are healthy enough to go home. Depending on your overall health, you will
likely go home a few days after surgery. Surgery will likely involve a long recovery over several weeks. You will probably need to take 4 to 12 weeks off from work. It depends on the type of work you do and how you feel. In some cases, full recovery may
take several months. Why It Is DoneAortic valve regurgitationIf your chronic regurgitation is getting worse and you have symptoms, you will likely have surgery. You might have surgery before you get symptoms, especially if your regurgitation is getting worse. If you have acute regurgitation, surgery will likely be done right away. For help with this decision, see Aortic Valve Regurgitation: Deciding About Surgery. Aortic valve stenosisValve replacement is recommended based on many things including how severe the stenosis is, whether you have symptoms, and how well your heart is pumping blood. It is typically recommended when a person has severe stenosis. How Well It WorksAortic valve regurgitationValve replacement surgery can fix aortic valve regurgitation. It helps relieve symptoms and prevent heart failure. And it helps people live longer.footnote 1 Aortic valve stenosis Valve replacement surgery is an effective treatment for people who have severe aortic valve stenosis.footnote 2 If you don't have surgery after your stenosis is severe, you may die suddenly or develop heart failure. Surgery can relieve symptoms, improve your quality of life, and help you have a more normal life span. RisksValve replacement
surgery has a high rate of success and a low risk of causing other problems if
you are otherwise healthy. Although most people have successful outcomes, there is a risk of death
and serious problems during surgery. Valve replacement surgery is high-risk for people who have a failing
left ventricle and who have had a heart attack. About 5 or less out of 100 people who have
valve surgery die.footnote 3 If you have severe aortic valve regurgitation or stenosis, the risks of not replacing the valve may be greater than the risks of surgery, unless you have other health problems that make surgery too
dangerous. Even if valve
replacement surgery is a success, you may have problems after surgery, such
as: - An increased risk of blood clots. These can break off and cause a
stroke or
heart attack. To reduce the risk of blood clots, you will take a blood-thinning medicine.
- A need for another replacement valve.
This will depend on the type of valve you get and how long you live after you
have the surgery.
- Incomplete relief from symptoms. Some types of valves do not have openings as wide as a normal
valve for a person your size. This can limit how well the valve works to
relieve your symptoms.
- A valve that fails.
There is a small chance that the valve will not work. Your doctor will need to
check from time to time to make sure that your valve is working.
ReferencesCitations- Freeman RV, Otto CM (2011). Aortic valve disease. In V Fuster et al., eds., Hurst's The Heart, 13th ed., vol. 2, pp. 1692-1720. New York: McGraw-Hill.
- Nishimura RA, et al. (2014). 2014 AHA/ACC guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation, published online March 3, 2014. DOI: 10.1161/CIR.0000000000000031. Accessed May 1, 2014.
- Otto CM, Bonow RO (2012). Valvular heart disease. In RO Bonow et al., eds., Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 9th ed., vol. 2, pp. 1468-1539. Philadelphia: Saunders.
CreditsByHealthwise Staff
Primary Medical ReviewerRakesh K. Pai, MD, FACC - Cardiology, Electrophysiology
Martin J. Gabica, MD - Family Medicine
Elizabeth T. Russo, MD - Internal Medicine
Specialist Medical ReviewerDavid C. Stuesse, MD - Cardiac and Thoracic Surgery Current as ofJune 1, 2017 Current as of:
June 1, 2017 Freeman RV, Otto CM (2011). Aortic valve disease. In V Fuster et al., eds., Hurst's The Heart, 13th ed., vol. 2, pp. 1692-1720. New York: McGraw-Hill. Nishimura RA, et al. (2014). 2014 AHA/ACC guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation, published online March 3, 2014. DOI: 10.1161/CIR.0000000000000031. Accessed May 1, 2014. Otto CM, Bonow RO (2012). Valvular heart disease. In RO Bonow et al., eds., Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 9th ed., vol. 2, pp. 1468-1539. Philadelphia: Saunders. Last modified on: 8 September 2017
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