Hi GarlicGalore, Thanks so much for the kind words about the HeartValveSurgery.com RUclips Channel for heart valve disease patients. Much appreciated!!! 😀❤👋
This is a very informative Mitral Valve surgery Webinar. If you are diagnosed with a Mitral Valve problem, this webinar would be a great first start! ( I have first hand expertise...)
Appreciate the details of their algorithm and robotic approach. Surprised he didn't mention increased heart rate as a symptom. He also didn't mention left atrial appendage closure rather than ablation for aFIB. I respectfully disagree with the low risk - any time you go on a heart lung machine, you risk vision loss and brain damage... there are subtle effects that are not being discussed or tracked. Also my understanding is Cleveland Clinic is not on board with Enhanced Recovery After Surgery (ERAS Cardiac), eg rigid sternal fixation, which cuts recovery time in half; even in the case of robotic surgery there are techniques that greatly improve recovery for the patient. The choice is not just open vs robotic, it is standard vs ERAS as well. For that reason CC is not my first choice. Not sure why Dr Gillinov emphasizes using the heart lung connection in the leg; I believe it can be done in the neck/chest. MVP can be genetic, especially if you have Barlow's valve due to connective tissue disease like I do - my mother passed from MVP and CHF.
Informative discussion and timely. The chart showed up to 14 years for a repair with 5% exception for reoperation. Are there stats on how long a repair can last? I.e. if 62 year old had asymptomatic severe mitral valve prolapse with regurgitation would a surgeon lean to valve replacement instead repair?
Hi Steve, Great question about mitral valve repair durability. Unfortunately, we do not have a great answer for the very long-term durability outcomes beyond 14 years. That said, we will do our best to find out for you. Stay tuned. As for the treatment option of a patient described above... Unfortunately, as a patient advisory group, we are not trained or capable of providing specific medical advice. That said, we would strongly encourage you to discuss this question with your medical team. If you are not getting information that you are comfortable with then perhaps you should get a second opinion to validate and support next steps in the treatment process. Thanks for your questions!
56 with mild aortic regurgitation with calcification. I run 30 minutes about 5 times a week , no symptoms. Do I wait for symptoms? A replacement valve will wear out. Some department but cardiologist says it’s healthy muscle thickness and function
Hi, You raise a really great question. Unfortunately, as a patient advisory group, we are not trained or capable of providing specific medical advice. That said, we would strongly encourage you to discuss this question with your medical team. If you are not getting information that you are comfortable with then perhaps you should get a second opinion to validate and support next steps in the treatment process. We are sorry that we cannot be of more immediate help to you.
Hi Michael, It depends on the type of mitral valve disease. We would encourage you to talk with your medical team to learn if the MitraClip can help you.
This channel is a gift! Thank you.
Hi GarlicGalore, Thanks so much for the kind words about the HeartValveSurgery.com RUclips Channel for heart valve disease patients. Much appreciated!!! 😀❤👋
I can not tell you enough Thank You I’m ramping up for the surgery now.
😀 Thanks for letting us know you enjoyed this patient webinar with Dr. Marc Gillinov about robot-assisted mitral valve surgery.
Excellent presentation. Thank you for educating us on this complicated process, and how to prepare and interview our surgeons.
Hi, Great to hear you enjoyed this webinar with Dr. Marc Gillinov about robotic mitral valve surgery!
This is a very informative Mitral Valve surgery Webinar.
If you are diagnosed with a Mitral Valve problem, this webinar would be a great first start!
( I have first hand expertise...)
Wonderfull to learn you enjoyed this mitral valve webinar with Dr. Marc Gillinov from the Cleveland Clinic.
Very informative!
Great, thanks!
Great questions!!
Thanks!
Appreciate the details of their algorithm and robotic approach. Surprised he didn't mention increased heart rate as a symptom. He also didn't mention left atrial appendage closure rather than ablation for aFIB. I respectfully disagree with the low risk - any time you go on a heart lung machine, you risk vision loss and brain damage... there are subtle effects that are not being discussed or tracked. Also my understanding is Cleveland Clinic is not on board with Enhanced Recovery After Surgery (ERAS Cardiac), eg rigid sternal fixation, which cuts recovery time in half; even in the case of robotic surgery there are techniques that greatly improve recovery for the patient. The choice is not just open vs robotic, it is standard vs ERAS as well. For that reason CC is not my first choice. Not sure why Dr Gillinov emphasizes using the heart lung connection in the leg; I believe it can be done in the neck/chest. MVP can be genetic, especially if you have Barlow's valve due to connective tissue disease like I do - my mother passed from MVP and CHF.
Thanks for sharing your thoughts.
Could not join live this time, missed it. But will send my question probably for next session.❤
Sorry you could not make this live patient webinar. We look forward to having you on the next heart valve surgery webinar!
Dr Marc he is the best
Curious... Did you have mitral valve surgery with Dr. Marc Gillinov?
Informative discussion and timely. The chart showed up to 14 years for a repair with 5% exception for reoperation. Are there stats on how long a repair can last? I.e. if 62 year old had asymptomatic severe mitral valve prolapse with regurgitation would a surgeon lean to valve replacement instead repair?
Hi Steve, Great question about mitral valve repair durability. Unfortunately, we do not have a great answer for the very long-term durability outcomes beyond 14 years. That said, we will do our best to find out for you. Stay tuned.
As for the treatment option of a patient described above... Unfortunately, as a patient advisory group, we are not trained or capable of providing specific medical advice. That said, we would strongly encourage you to discuss this question with your medical team. If you are not getting information that you are comfortable with then perhaps you should get a second opinion to validate and support next steps in the treatment process.
Thanks for your questions!
Informative💯
Fantastic to learn you enjoyed this webinar about mitral valve surgery with Dr. Gillinov.
56 with mild aortic regurgitation with calcification. I run 30 minutes about 5 times a week , no symptoms. Do I wait for symptoms? A replacement valve will wear out. Some department but cardiologist says it’s healthy muscle thickness and function
Hi, You raise a really great question. Unfortunately, as a patient advisory group, we are not trained or capable of providing specific medical advice. That said, we would strongly encourage you to discuss this question with your medical team. If you are not getting information that you are comfortable with then perhaps you should get a second opinion to validate and support next steps in the treatment process. We are sorry that we cannot be of more immediate help to you.
what about the TMVR? so don't have to cut through muscle, etc??? and who is doing this? is Dr. Marc doing this?
Yes, the Cleveland Clinic does TMVR. Here is an educational video about TMVR that you may want to watch - ruclips.net/video/kfWCnp4e4WI/видео.html.
NOW is best, it ONLY gets worse and as it gets worse it causes negative changes in the rest of the heart to compensate
Here is a video about timing surgery for mitral valve disease that might be helpful to you - ruclips.net/video/laKsn2KErD8/видео.html.
Can a mitral with a
MitrClip be repaired?
Hi Michael, It depends on the type of mitral valve disease. We would encourage you to talk with your medical team to learn if the MitraClip can help you.