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Risks and Prognosis

Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Aug 09, 2020


Risks and Prognosis

Risks of Mitral valve replacement vary according to the patient's pre-existing problems or other associated defects. Overall risk involved in degenerative mitral valve disease surgery is 0.4%. Risk of death is about 7% and thrombosis is about 5%.


Risk of death is high in patients with pre-operative renal insufficiency, cerebrovascular disease, unstable angina and elderly patients.

In general, the complications related to surgery are as follows:

Mitral Valve repair is preferred in most patients where replacement can be avoided. The long-term outcomes are good for both, better in mitral valve repair. However, long-term results can be influenced by other pre-existing conditions.

Studies show that ischemic heart disease with severe mitral regurgitation is associated with poor survival rates after mitral valve surgery.

Researchers have reported that death rate in patients over 75 years of age undergoing mitral valve procedures has decreased to a 5% from 27%.

Mitral Valve Stenosis And Mitral Valve Replacement - References

  1. Congenital Mitral Stenosis With or Without Associated Defects - (http://circ.ahajournals.org/cgi/content/full/102/suppl_3/III-166)
  2. Mitral Stenosis - (http://www.emedicine.com/med/topic1486.htm)
  3. Hospitalization statistics for Mitral valve disease: - (http://www.wrongdiagnosis.com/m/mitral_valve_disease/stats.htm#medical_stats)
  4. Congenital Mitral Stenosis - (http://www.emedicine.com/ped/topic2517.htm)
  5. Mitral valve regurgitation - (http://www.nlm.nih.gov/medlineplus/ency/article/000176.htm)
  6. Heart & Vascular Institute (Miller Family) - (http://www.clevelandclinic.org/heartcenter/pub/guide/disease/valve/mvrepairfaq.htm)

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