Why Choose AMC Valvular Heart Disease Center?
Valvular heart disease is a condition in which the heart valves do not open or close properly. A valve that has difficulty opening is called stenosis, while a valve that opens properly but does not close tightly, allowing blood to flow backward, is called insufficiency. The heart has four chambers and four valves. Although the heart contains all four valves, clinical problems most commonly affect the mitral and aortic valves. Valvular disease may be congenital, sometimes accompanied by structural abnormalities present at birth, although this is rare. In most cases, normally functioning valves become impaired as structural damage develops
Close collaboration among relevant specialties is essential for valvular disease care, from diagnosis and treatment to postoperative monitoring and follow-up. The optimal medication and the most appropriate timing for procedures or surgery are determined through discussion among the relevant departments. AMC Valvular Heart Disease Center has achieved a success rate exceeding 90% in heart valve repair and has significantly reduced hospital stays through minimally invasive surgery. Furthermore, the center has achieved excellent results in treating mitral and aortic stenosis through percutaneous interventions, performed without any chest incision, thanks to coordinated collaboration among specialists.
AMC Valvular Heart Disease Center also has an echocardiography unit with cutting-edge medical equipment and professional staffs. In this unit equipped with state-of-the-art facilities, every examination process is saved in a digital image storage system in real time. It allows for instant comparison of data with previous test results, enabling accurate monitoring of disease progression.
The primary treatment for valvular disease focuses on repairing the valve that does not open or close properly. The most common treatment is valve replacement, which involves opening the heart to remove the diseased valve and implant an artificial one. The type of artificial valve is selected based on the patient’s age, sex, and overall condition. After valve replacement, regular follow-up examinations and medication management are required. The recently introduced valvuloplasty is designed to repair the diseased valve rather than replace it. Valvuloplasty is much easier to manage than prosthetic valve replacement in terms of postoperative care.
Valvuloplasty is sometimes performed through open-heart surgery but is often carried out as percutaneous mitral valvuloplasty (PMV) in patients with mitral stenosis. A balloon is inserted through a blood vessel and inflated to widen the narrowed valve. This procedure achieves the desired effect without the need for general anesthesia or open-heart surgery. Determining the optimal timing for treatment is crucial in valvular disease. Surgery should not be rushed simply because a valve is malfunctioning, as the associated risks and potential complications must be carefully considered. In some cases, symptoms can be relieved with medication by supporting the heart’s compensatory mechanisms. Therefore, it is important to seek guidance from a cardiologist or cardiac surgeon when determining the appropriate timing and type of surgical intervention, whether valve replacement or valvuloplasty.
Minimally-invasive valve surgery using a speech recognition robot and da Vinci robots.(As of 2017)