Surgery options for mitral valve stenosis

Surgery for mitral valve stenosis
Balloon valvotomy or valvuloplasty (repair option) Mitral commissurotomy (repair option) Mitral valve replacement

Recommended if:

  • Valve leaflets are pliable
  • No calcium buildup in area where valve leaflets have fused

Recommended if:

  • Skilled cardiologist is not available to perform balloon valvotomy
  • Heavy valve calcification is present

Recommended if:

Not recommended if:

  • Valve leaflets are calcified
  • Experienced technician is not available
  • Blood clot is present in the left atrium
  • Concurrent moderate or severe mitral regurgitation

Not recommended if:

  • Percutaneous balloon valvotomy (valvuloplasty) is an option

Not recommended if:

  • Either of the repair options are viable treatment options

Benefits:

  • Nonsurgical procedure
  • Nearly immediate results
  • Usually doubles the valve area
  • Good long-term outcomes
  • Faster recovery time

Benefits:

  • Nearly immediate results
  • Usually doubles the valve area

Benefits:

  • Corrects all mitral valve problems at the same time

Drawbacks:

  • Valve can become blocked again after 10–20 years and may require replacement
  • Can cause mitral regurgitation

Drawbacks:

  • More invasive procedure than percutaneous balloon valvotomy
  • Can cause mitral regurgitation

Drawbacks:

  • Generally must take blood-thinning medication over the long term
  • Open-heart procedure

Last Updated: February 10, 2010

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