What are Mitral Valve Diseases? How to Treat?
Writer: Prof. Dr. Yavuz Besogul
Mitral valve diseases can occur in 3 ways. The first and most common of these is rheumatic. In other words, the mechanism developed by the body against the microbe caused by the throat inflammation that the patient was born with subsequently damages the heart valve or rheumatic joints by affecting them. Another reason may be a mitral valve disorder from childhood, while another reason is the deterioration of nutrition in the area where the valve is located and the insufficiency of the heart valve as a result of a heart attack in later ages.
The most common (80 percent, even 85 percent) is rheumatic mitral valve involvement. As a result, calcification of the mitral valve located between the left atrium and left ventricle of the heart or damage to the tissue may occur, resulting in mitral valve disease, both leakage and insufficiency. As a result of the incident, blood may completely pool in the lungs and high lung blood pressure may occur. Symptoms initially include shortness of breath and palpitations.
The most important reasons are occasional arrhythmia and the patient's heart fluttering from time to time. The examination that needs to be done for these symptoms is an ultrasound of the heart, that is, echocardiography. As a result, valve leakage or stenosis may occur. Or both stenosis and leakage may be detected. Regardless of the situation that occurs as a result of this, such as an enlarged heart, increased lung blood pressure, or a large number of complaints, the common point of all of them is the need for intervention. If all these criteria are met, the patient's heart valve can be repaired or replaced with a minimally invasive technique, especially by entering from a 4-centimeter area under the arm.
Regardless of the timely intervention, the growth of the heart stops, the progression of lung blood pressure decreases and it can return to normal within 6 months and 1 year. Heart rhythm disorders slow down, become regulated, and the patient's complaints decrease day by day.