The gold standard is to perform repair of the mitral valve whenever possible in order to maximise the long term benefits of the procedure, preserve heart function and avoid anticoagulation requirements. The team at The Keyhole Heart Clinic can repair the mitral valve with a success rate as high as that achieved by traditional breastbone division in all patients selected for keyhole heart surgery.
The traditional approach to mitral valve replacement is via a full breastbone break. Experienced surgeons can perform the same operation through a smaller partial breastbone incision that allow improved healing, greater bone stability, and much more acceptable cosmetic results.
This procedure requires a small incision over the right rib cage and does not require the need to cut any bone. The wound heals within 7 to 10 days and is cosmetically very appealing. This is the preferred technique for mitral valve repair keyhole surgery at The Keyhole Heart Clinic. This procedure can be performed by Da Vinci Robot or using long shafted instruments if your surgeon is particularly skilled. The preference of the clinic is to avoid the Robot since procedures can be unduly protracted, which can often create more harm than benefit. In certain cases, particularly in young patients, we are seeking to exploit the use of the Da Vinci Robot system since these individuals can tolerate longer cardiopulmonary bypass times.
The team at the keyhole heart clinic perform keyhole mitral valve replacement through a small cut between the ribs on the right side of the chest in suitable candidates. This incision allows healing in days rather than weeks.
Traditional Sternotomy approach
Keyhole approach to the mitral valve
This is a new percutaneous therapy that is suitable only for patients who are deemed too risky for traditional heart surgery, and is only of value in high risk patients who are unsuitable for traditional of keyhole heart surgery via minithoracotomy. The treatment involves clipping the two leaflets of the mitral valve together to try and reduce the leak and offer patients who would otherwise be unsuitable for any treatment, a degree of symptomatic relief.
MitraClip insertion by catheter