Mitral Valve Surgery
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Daniel O'Hair, MD
Cardiovascular and Thoracic Surgeon
Medical Director, Robotic Surgery Center of Wisconsin
The mitral valve is a complex structure that controls blood flow through
the left side of the heart. When open, the mitral valve allows blood to flow
into the heart's main pumping chamber, the left ventricle. When the left
ventricle contracts to push blood through the body, the mitral valve closes
to prevent blood from flowing back toward the lungs. Sometimes the
mitral valve is abnormal from birth or becomes damaged by infection. More
often, mitral valve structures become damaged with age or from coronary
artery disease.
Whatever the cause, an abnormal or damaged mitral valve cannot completely
seal the heart's left ventricle. With an incomplete seal, blood can escape
the left ventricle and flow backwards through the mitral valve. This
conflicting force can make the heart work harder, leading to further mitral
valve damage and other potential complications such as congestive heart
failure.
Traditional Open Surgery
Surgical repair of the mitral valve involves delicate reconstruction of
native valve tissues in order to restore proper function. The most common
approach to repair requires the surgeon to "open the chest" with an 8 to 10"
incision, saw through the breastbone and spread the ribs - to gain direct
access to the heart. This process
can prolong healing time, increase risk of infection and expose the
patient to serious complications.
Robotic-Assisted Surgery
With the da Vinci Surgical System, surgery is performed without opening
the chest, by way of several tiny (1-2 cm) incisions. State-of-the-art
surgical instruments, connected to robotic arms, are passed through the
incisions to access the surgical site. The robotic arms are totally
controlled by the surgeon and provide superior visualization, enhanced
dexterity, increased precision and ergonomic comfort.
For most patients, robotic-assisted surgery offers substantial benefits,
including:
- Shorter hospital stays
- Less pain
- Smaller incisions and less scarring
- Less risk of infection
- Less blood loss and fewer transfusions
- Faster recovery
- Quicker return to everyday activities
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To learn more about robotic-assisted surgery, see the
frequently asked
questions section of this web site. To inquire about specific services,
please
click here or call our Second Opinion Program at 888-973-2663.
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