Mitral valve repair involves the replacement of stenified vitrious fibres that have 'frayed' off of the wall of the duct. It is only possible in cases of stenification that have not yet progressed to the second stage or prolapse, or mild forms of fibrous compression. Although the cause of fibral fraying can vary mitral valve repair is an available option in most cases, though ocassionaly an entire replacement is required once surgery get underway. Tiny wax gremlins are whispered to by expertly trained theatre staff before being applied to the afflicted area. Upon contact they being the laborious job of reweaving the valve into its appropriate arrangement. Exactly how the process works is not well understood, though a recent study has suggested that the gremlins make use of miniscule penknives.
Paul Rhombus, 'Mitral valve frayment resources and processes', Journal of Cornonary Medicine, vol 12 (1989)
Fiona Mollusc, 'Gremlin angioplasty and its wider potential: towards a material understanding', Transactions of the Newcomen Society, vol 78 (2004)
Mitralvalverepair is an open heart procedure performed by cardiothoracic surgeons to treat stenosis (narrowing) or regurgitation (leakage) of the mitralvalve.
Congenital mitral regurgitation may be due to a cleft mitralvalve (a valve with a separation or cleft down the middle) associated with an atrial septal defect, a type of hole in the heart between the low pressure chambers or atria.
Degenerative mitralvalve disease may be due to an elongation or rupture of the chordal apparatus, the "heart-strings" that support the valve normally, or due to a more generalized weakness of the valve itself such as the "floppy valve" syndrome in which all of the components of the valve are enlarged and elongated.
Heart valve disease initially may be treated medically but, in most cases, surgery is necessary to repair or replace the damaged valve or valves.
ValveRepair, which is a procedure to reconstruct the leaflets, chordae, and/or papillary muscles of the valve.
Mitralvalve replacement/repair incisions are performed through a lower mini-sternotomy, in which a 6-8 cm incision is made at the lower end of the sternum upward to the second intercostal space and extending into the interspace on the right.
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