Valve Treatments & Surgery
Surgical and nonsurgical care.
Heart valves that leak or function abnormally can cause chest pain, fatigue and other symptoms. Heart valve medications, vascular treatments and valve replacement surgery can help restore your heart's normal function.
How a heart valve works
Your heart has four valves that regulate blood flow. The tricuspid valve allows blood in need of oxygen to flow from the right atrium into the right ventricle, which then pumps blood through the pulmonary valve into the lungs. Oxygenated blood returns to the left atrium, then travels through the mitral valve to the left ventricle before exiting the heart through the aortic valve.
The mitral valve has two flaps, called cusps or leaflets. Each of the other valves has three cusps. When valves fail to close normally or become thickened or inelastic, disruption of blood flow through your heart can occur. That can cause symptoms like chest pain, dizziness, fatigue, shortness of breath and a racing heartbeat.
Common heart valve conditions
Three primary conditions require heart valve treatment: valvular stenosis, valvular regurgitation and valvular atresia. These conditions can affect one or more of the heart's four valves.
- Valvular Stenosis — Heart valves that have thickened or stiffened fail to open properly. Stenosis forces the heart to work harder, which still may not be sufficient to supply oxygenated blood to the body.
- Valvular Regurgitation — Occurs when valves don't close properly. That allows blood to leak in either direction between chambers.
- Valvular Atresia — A congenital heart defect where one or more heart valves don't form.
Your cardiologist may be able to manage your conditions with medications. Beta-blockers, calcium channel blockers and digoxin, for instance, can be used to help control the heart rate and reduce its workload. Blood pressure medications, meanwhile, can help relax blood vessels so your heart can pump more efficiently.
When medication is not enough, your care team may refer you to a heart surgeon to determine whether you would benefit from valve repair or replacement surgery. At Novant Health we offer surgical solutions for problems related to your aortic, mitral and tricuspid valves. These include standard open-heart surgeries and less invasive procedures.
In less invasive procedures, a surgeon uses special imaging equipment to guide a thin wire or tube called a “catheter” through an artery via incisions in your groin or chest until it reaches the damaged valve. Artificial valves, balloons and other items needed to repair or replace the valve are then inserted and manipulated through the catheter.
Because they use small incisions and cause less blood loss, transcatheter valve surgeries were first approved for patients for whom standard open-heart surgery was considered too risky. Today, they are increasingly used on low-risk patients as well, because they result in shorter hospital stays and quicker recoveries with less pain and scarring.
To provide more capacity and scheduling flexibility, Novant Health has equipped many of its cardiac operating rooms for both open and catheter-based heart surgery.
Valve Repairs & Replacements
Transcatheter aortic valve repair and replacement (TAVR)
Novant Health can repair or replace the aortic valve using traditional open-heart surgery and the less invasive TAVR procedure. During TAVR, a synthetic aortic valve is placed in your heart through a catheter without removing the damaged valve. It is usually performed on an outpatient basis.
Transcatheter mitral valve repair
In this less invasive procedure, surgeons use a catheter to insert a medical device called the MitraClip™ into your mitral valve to reduce leakage and increase valve function. It is used to treat patients with mitral regurgitation who are ineligible for surgery as well as those with heart failure.
Open- and less invasive options available
Novant Health offers both open-heart and less invasive surgical treatments for repair and replacement of the tricuspid valve.
Atrial septal defect repair is an open-heart procedure that closes abnormal openings or holes in the septal heart wall that separate the upper left and right chambers of your heart.