What Happens During Valve Replacement Surgery?

Valve replacement surgery is a critical procedure aimed at addressing heart valve dysfunction, which can lead to serious health complications. Understanding what happens during the surgery can help patients and their families prepare for this important medical intervention.

During valve replacement surgery, the patient is usually placed under general anesthesia to ensure they are completely unconscious and pain-free throughout the procedure. The surgery typically takes several hours, depending on the complexity of the case and the specific valve being replaced.

The process begins with the surgeon making an incision in the chest, often referred to as a median sternotomy, where the breastbone is split to access the heart. In some less invasive approaches, a smaller incision may be used, such as through the right side of the chest. After opening the chest, the surgeon may temporarily stop the heart using medication and begin to connect the patient to a heart-lung machine, which takes over the function of pumping blood and oxygen throughout the body.

Once the heart is stabilized, the surgeon removes the damaged or diseased valve. This could be one of the four heart valves: the aortic, mitral, pulmonary, or tricuspid valve. After removal, the surgeon will insert a new valve in its place. The replacement valve could be a mechanical valve, which is made from durable materials, or a biological valve, which is derived from animal or human tissue.

After the new valve is securely in place, the heart is restarted, and the heart-lung machine is gradually disconnected. The surgeon will check for proper function and blood circulation before carefully closing the chest cavity. The breastbone is usually wired back together, and the skin is stitched or stapled shut.

Post-surgery, patients typically spend several days in the hospital for monitoring and recovery. The medical team will keep a close eye on vital signs and may conduct echocardiograms to ensure that the new valve is functioning correctly. Pain management and rehabilitation plans will be discussed before the patient is discharged.

Recovery time after valve replacement surgery varies from person to person. Many patients can return to normal activities within a few weeks to months, but it is essential to follow the surgeon's instructions regarding physical activity and dietary changes to promote optimal healing and heart health.

Valve replacement surgery can significantly improve quality of life for patients suffering from valve-related heart issues. By restoring proper blood flow and alleviating symptoms such as fatigue, shortness of breath, and heart palpitations, this life-saving procedure plays a pivotal role in cardiac care.