Is surgery necessary for a mitral valve leak?

Question

Hi doctor,

My mom is 46 years old. She recently had her routine physical examination, during which it was discovered that her mitral valve does not close fully, but to a very slight degree. The doctor believes that she does not need surgery and did not mention anything else. Therefore, I would like to seek a second opinion on this. Does she need surgery? What steps should she take to improve her health?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

From your short descriptions, I understood that there is a leak in the mitral valve. Yes, mild to moderate leaks can be managed with medicine, but if a severe leak is there, then at some stage operation is required. I can guide you more if you send an echo report and more history.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

The report (attachments removed to protect the patient’s identity) you provided, shows that one heart chamber has enlarged significantly, and the leak is moderate. She needs to be on medication. If she experiences any breathing difficulties that are difficult to control with medication, then she may need surgery. Otherwise, an echo should be performed every six to 12 months to monitor heart leakage and other parameters to ensure she is doing well on the medication. We can help slow the progression with proper treatment.

I hope this helps.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

Do not panic. Nowadays, science is much more advanced. We recommend ACE (angiotensin-converting enzyme) inhibitors to reduce the load on the heart. They can delay the need for surgery by a few more years if the patient is comfortable with the medication. However, if the patient does not respond well to the medication and her heart function deteriorates, then surgery will be necessary.

If surgery is performed at the appropriate time, it typically yields very good results. She is young and has a long life ahead, so there is no need to worry. Just ensure regular follow-ups, and she will be fine. According to your history, she does not have many complaints right now, but we need to monitor her closely and encourage a healthy lifestyle.

I hope this helps.

Thank you.