Quick facts
Treatment type
Open or minimally invasive heart surgery
Valve options
Mechanical or tissue
Hospital stay
About 5-7 days, including ICU
Return to activities
6-12 weeks
What is it
Heart valve replacement removes a diseased valve that cannot be repaired and puts a new valve in its place. The new valve may be mechanical, made of durable materials, or tissue, made from animal or human tissue.
Why it is done
A valve that is severely narrowed or leaking makes the heart work far harder than it should. Replacing it restores normal blood flow, relieves symptoms and protects the heart muscle from further strain.
Who needs it
Severe aortic stenosis or aortic regurgitation
Severe mitral stenosis or regurgitation not suitable for repair
A valve damaged by rheumatic heart disease
Infection of a valve, endocarditis, that has destroyed valve tissue
A previously replaced valve that has worn out
Types and options
Mechanical valve - very durable, usually lifelong, but needs lifelong blood-thinning medicine with regular blood tests.
Tissue valve - no lifelong blood thinner in most patients, but may wear out over time and need replacing.
Approaches: open surgery through the breastbone, minimally invasive surgery through a small incision, or a catheter-based valve such as TAVI in selected patients. The choice depends on your age, the valve involved, other conditions and your own preference.
Tests before treatment
Echocardiography, often including a transoesophageal echo
ECG
Coronary angiography before surgery, to check the heart arteries
CT or other cardiac imaging where required
Blood tests, and dental assessment to rule out a source of infection
Assessment of overall surgical risk
How it is done
The diseased valve is removed and the new valve is sewn into place, usually with the support of a heart-lung machine while the heart is still.
Recovery
Usually around five to seven days in hospital, including time in intensive care. A return to normal activities generally takes six to twelve weeks. If you receive a mechanical valve you will take a blood thinner for life with regular blood tests. Follow-up echocardiography checks that the new valve is working, and cardiac rehabilitation is recommended where offered.
Benefits and outcomes
Relieves breathlessness, chest pain and fatigue
Restores normal blood flow through the heart
Protects the heart muscle from further damage
Can improve both survival and quality of life
A mechanical valve is usually a lifelong solution
Risks and complications
Bleeding
Infection, including infection of the new valve
Abnormal heart rhythm, sometimes needing a pacemaker
Stroke or blood clots
Kidney complications
Valve leak around the new valve, or a tissue valve wearing out over time
Complications of anaesthesia and surgery
Preparing to travel
Complete cardiac evaluation, including coronary angiography
Dental check-up, since infection can travel to a new valve
Review of medicines, especially blood thinners
Pre-operative blood tests and anaesthesia assessment
Stop smoking well before surgery where possible
How it is done
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1
Access
The surgeon reaches the heart through the breastbone or a smaller incision, depending on the approach chosen.
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2
Heart-lung support
The patient is placed on a heart-lung machine so the heart can be stopped and opened safely.
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3
Removing the valve
The diseased valve is carefully removed and the valve opening is measured.
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4
Fitting the new valve
The replacement valve is sewn into position and checked for a secure fit.
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5
Testing
The heart is restarted and imaging confirms the new valve opens and closes properly with no significant leak.
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6
Closure and recovery
The incision is closed and the patient is moved to intensive care for monitoring.
Where you can have this
1 listed
What it costs
USD 5750 – USD 10450
The range hospitals publish for this treatment. Your own price is confirmed after a surgeon reviews your reports.
(1 providers)
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What changes the price
Type of valve chosen, mechanical or tissue
Which valve is being replaced, and whether more than one
Surgical approach - open, minimally invasive or catheter-based
Whether bypass grafting is done at the same time
Hospital selected
Surgeon and cardiac team
Intensive care and length of stay
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