Common "Valve Replacement" queries answered by top doctors | iCliniq

Valve Replacement

Valve replacement is a surgical procedure done to change a damaged or non-functioning heart valve. The valve is replaced with an artificial valve or a bioprosthesis. The bioprosthesis might be obtained from a homograft or a xenograft, for example, from the pig. Aortic stenosis, mitral valve disease, etc., are the conditions where valve replacement is indicated.

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My mother has LV dysfunction. Can she undergo valve replacement?

Query: Hello doctor, My mother is suffering from severe LV dysfunction. Will valve replacement help her?  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Valve replacement will not increase EF (ejection fraction). The causes are still under research and if blockage is found, it should be operated. Medicines should be continued. What medicines is she taking? Does she have diabetes, hypertension, or any previous heart i...  Read Full »

What is heart valve replacement? Please explain.

Query: Hi doctor, My father, who is 57 years old, was suggested to go for AVR (valve replacement). His weight is 163 pounds. What are the procedures followed for valve replacement? Is there any consequence after the surgery? Can he lead a normal life after surgery? Which valve do we need to choose irrespec...  Read Full »


Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. Thanks for writing in to us. I have read through your query in detail. Please find my observations below. The valve replacement surgery is usually done using the open heart surgery technique, and the surgeon connects the blood vessels to a heart-lung machine and then st...  Read Full »

I have moderate aortic valve stenosis. Kindly help.

Query: Hello doctor, I have grade 2 to 3 heart murmur and moderate aortic valve stenosis. I just wanted to know, which valve is preferred, a metal mechanical or a plastic valve? Which lasts longest? Which is quietest? Is there a best brand to request?  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. The selection of valve material like a bioprosthetic valve or metallic valve depends upon many factors such as age of patient, comorbidities, previous thoracic surgeries, previous radiotherapy, risk or redo surgery and risk of anticoagulation and its complications. Us...  Read Full »

How to treat pleural effusion in my grandmother?

Query: Hi doctor, My grandmother had open heart surgery three years ago and replaced a valve. Now she has pleural effusions, cannot breathe or talk well and is hospitalized. Some doctors recommend another valve surgery because it is damaged and misplaced, and some say it is dangerous in her condition wheth...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. I understand your concern. Redo surgery is usually risky for most people, especially in older age. Specifically, it depends upon many patient and procedure-related factors. Which valve was implanted, aortic or mitral? Which type of valve was implanted, tissue valve or m...  Read Full »

I have been experiencing aortic valve problems, and currently, I am taking two types of medication daily. Which combination of medications would be more beneficial?

Query: Hello doctor,I have been experiencing aortic valve problems, and currently, I am taking two types of medication daily: Cardace 2.5 mg and Lasilactone 50 mg. Previously, about a month ago, I was taking Lasilactone and Envas 2.5 mg. I would appreciate your suggestion on which combination of medication...  Read Full »


Dr. Amit Kumar

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I have reviewed your investigations, and despite the presence of aortic regurgitation, your heart is in good working condition, maintaining an ejection fraction (EF) of around 65 %. Both the tablets Cardace (containing Ramipril) and Envas ...  Read Full »

How to fix a defective heart valve 30 years after surgery for mitral valve stenosis?

Query: Hi doctor, The patient suffered from mitral stenosis. Before 30 years, he had surgical operation. Presently, he is suffering from chest pain. After thorough checkup, it reveals that the other valve of the patient got defective. In this regard, we seek your valuable advice. Is it possible to get surg...  Read Full »


Dr. Salah Saad Hassan Shoman

Answer: Hi, Welcome to icliniq.com. If you're contemplating valve replacement surgery, it's crucial to maintain strict control over elevated blood pressure and blood glucose levels, both of which are currently above normal (attachment removed to safeguard patient privacy). Additionally, it's important to n...  Read Full »

My mother had mitral stenosis. Which valve would be best for her biological or mechanical?

Query: Hello doctor,My mother is 59 years old and has mitral stenosis. CMV was done 35 years back. Now recently she had a heartbeat of 150 beats per minute and atrial flutter, and she was on Acitrom previously. She has undergone DC cardioversion shock. Now latest ECG shows atrial ectopic and her heart rate...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello,Welcome to icliniq.com.Thank you for your query.Yes, she is now a candidate for mitral valve replacement. However, you should make a note that valve replacement is not a complete solution. Firstly, at this age, a mechanical valve is better considering the durability of the valve. The bileaflet...  Read Full »

Is mitral valve prolapse a reversible condition?

Query: Hello doctor, I was recommended by my cardiologist for heart valve replacement surgery as my latest echocardiogram results, both transthoracic (TTE) and transesophageal (TEE), revealed that my mitral valve prolapse had worsened. The diagnosis was severe eccentric MR. However, during the latest TTE s...  Read Full »


Dr. Prashant Valecha

Answer: Hello, Welcome to icliniq.com. First of all, the severity of MR (mitral regurgitation) will be correctly deciphered by your cardiologist. An eccentric type of MR is actually a grade higher than it looks. Like your radiologist may think it is moderate but it is severe, but because of its eccentric ...  Read Full »

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