AVR/MVR

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What is AVR/MVR?

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  • AVR (Aortic Valve Replacement) is a surgical procedure to replace a damaged or diseased aortic valve, which controls blood flow from the heart to the body.
  • MVR (Mitral Valve Replacement) is a procedure to replace a damaged mitral valve, which controls blood flow between the heart’s left chambers.

These surgeries are performed when the valves become too narrow (stenosis) or leaky (regurgitation), affecting heart function and blood circulation.

Types of AVR/MVR

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Mechanical Valve Replacement

Made of durable materials (metal, carbon, plastic), requiring lifelong blood thinners.

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Biological (Tissue) Valve Replacement

Made from human or animal tissue, lasts 10–20 years but does not require lifelong blood thinners.

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Transcatheter Aortic Valve Replacement (TAVR/TAVI)

A minimally invasive alternative for high-risk patients needing AVR.

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Minimally Invasive Valve Surgery (MIVS)

Uses small incisions for quicker recovery.

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Ross Procedure (for AVR)

The patient’s pulmonary valve replaces the aortic valve.

Symptoms Indicating the Need for AVR/MVR

Patients may experience:

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Shortness of breath

(especially during activity)

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Fatigue or weakness
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Swelling in legs, feet, or abdomen
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Dizziness or fainting
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Chest pain or tightness
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Irregular heartbeat (arrhythmia or palpitations)
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Heart murmur (abnormal heart sounds)

Risk Factors of AVR/MVR

Although valve replacement surgery is often successful, risks include:

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Causes Leading to AVR/MVR

These surgeries are required due to:

Congenital heart defects (born with valve abnormalities)

Rheumatic heart disease (caused by untreated strep throat infections)

Aging and calcification (valves stiffen over time)

Heart infections (endocarditis)

Heart attacks affecting valve function

Aortic aneurysm (enlargement of the aorta affecting the aortic valve)

How to Prevent the Need for AVR/MVR?

While some valve conditions are unavoidable, you can lower risks by:

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Managing high blood pressure and cholesterol

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Maintaining a heart-healthy diet

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Exercising regularly

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Avoiding smoking and excessive alcohol

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Treating strep throat infections to prevent rheumatic heart disease

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Regular heart check-ups and monitoring valve function

Treatment Options for Heart Valve Disease

Before recommending valve replacement, doctors may try:

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Medications

Blood thinners, beta-blockers, diuretics to manage symptoms.

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Balloon Valvuloplasty

A catheter-based procedure to open a narrowed valve (used mostly for mitral stenosis).

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Lifestyle changes

Diet, exercise, weight management.

If these treatments are ineffective, valve replacement surgery (AVR/MVR) is required.

Procedures Available for AVR/MVR

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Open-Heart Valve Replacement – The chest is opened to replace the damaged valve.

Minimally Invasive Valve Surgery (MIVS) – Small incisions are used instead of a full chest opening.

Transcatheter Aortic Valve Replacement (TAVR/TAVI) – A catheter-based procedure for high-risk patients needing AVR.

Percutaneous Mitral Valve Repair (MitraClip) – A catheter-based option for high-risk MVR patients.

Ross Procedure – The patient’s pulmonary valve replaces the aortic valve.

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Hospital Stay – Usually 5–7 days.

Full Recovery – Takes 6–12 weeks, depending on the procedure.

Lifelong Monitoring – Patients may require blood thinners (for mechanical valves).

Cardiac Rehabilitation – Exercise and diet programs to improve heart health.