Print Annuloplasty Annuloplasty Enlarge image Close Annuloplasty Annuloplasty In annuloplasty, the surgeon tightens, reshapes or reinforces the ring around a valve in the heart. An annuloplasty is a procedure to tighten, reshape or reinforce the ring (annulus) around a valve in the heart. It may be done during other procedures to repair a heart valve. Why it's doneAn annuloplasty is done to reshape, reinforce or tighten the ring around a damaged or diseased heart valve. The ring around a valve in the heart (annulus) can widen and change from its usual shape. This may occur when the heart is enlarged or if you have a leaky valve (valve regurgitation). When the ring is widened, the valve flaps attached to the ring may not open and close correctly. As a result, blood can leak backward through the valve. An annuloplasty may be done to fix the valve. An annuloplasty may be done with other techniques to repair a heart valve. What you can expect Annuloplasty mitral valve repair Enlarge image Close Annuloplasty mitral valve repair Annuloplasty mitral valve repair In annuloplasty, the surgeon tightens, reshapes or replaces the ring around the valve so that the valve leaflets can close. This may be done at the same time as other procedures to repair a valve. In an annuloplasty, the heart surgeon measures the size of the existing ring around the valve. Then the surgeon sews a band to the existing ring. The band may be rigid or flexible. An annuloplasty can be done during open-heart surgery or minimally invasive heart surgery, which involves smaller incisions. Researchers are studying less invasive ways to perform annuloplasty and other heart valve procedures using long, thin tubes. Such approaches are called transcatheter procedures. By Mayo Clinic Staff Request an appointment March 18, 2022 Print Share on: FacebookTwitter Show references Bhatt DL, ed. Transcatheter mitral valve intervention. In: Cardiovascular Intervention: A Companion to Braunwald's Heart Disease. Elsevier; 2016. https://www.clinicalkey.com. Accessed Feb. 1, 2022. Arnold M, et al. Tricuspid annuloplasty: Transcatheter approaches. Current Cardiology Reports. 2021; doi:10.1007/s11886-021-01570-8. Joseph KM, et al. Mitral valve annuloplasty failure and percutaneous treatment options. Current Cardiology Reports. 2021; doi:10.1007/s11886-021-01574-4. Fuster V, et al., eds. Degenerative mitral valve disease. In: Hurst's The Heart. 14th ed. McGraw Hill; 2017. https://accessmedicine.mhmedical.com. Accessed Feb. 1, 2022. Libby P, et al., eds. Transcatheter therapies for mitral and tricuspid valvular heart disease. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Elsevier; 2022. https://www.clinicalkey.com. Accessed Feb. 1, 2022. Related Annuloplasty Annuloplasty mitral valve repair Balloon valvuloplasty Incisions in minimally invasive heart surgery and open-heart surgery Mayo Clinic Minute: Mitral valve clip Minimally invasive heart surgery Mitral valve disease Mitral valve prolapse Mitral valve regurgitation Mitral valve regurgitation Mitral valve repair Mitral valve repair surgery Mitral valve stenosis Robot-assisted minimally invasive mitral valve repair at Mayo Clinic Robotic heart surgery – What you should know and what you should ask Transcatheter mitral valve replacement Show more related content News from Mayo Clinic Mayo Clinic Q&A podcast: Why some patients need a second heart surgery Feb. 22, 2022, 12:00 p.m. CDT Products & Services Book: Mayo Clinic Family Health Book, 5th Edition Newsletter: Mayo Clinic Health Letter — Digital Edition Show more products and services from Mayo Clinic Mayo Clinic in Rochester, Minnesota, has been recognized as one of the top Cardiology & Heart Surgery hospitals in the nation for 2022-2023 by U.S. News & World Report. Learn more about this top honor Mitral valve repair and mitral valve replacementAboutDoctors & DepartmentsCare at Mayo Clinic Advertisement Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Advertising & Sponsorship Policy Opportunities Ad Choices Mayo Clinic Press Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Mayo Clinic on Incontinence - Mayo Clinic PressMayo Clinic on IncontinenceNEW – Future Care - Mayo Clinic PressNEW – Future CareMayo Clinic on Hearing and Balance - Mayo Clinic PressMayo Clinic on Hearing and BalanceFREE Mayo Clinic Diet Assessment - Mayo Clinic PressFREE Mayo Clinic Diet AssessmentMayo Clinic Health Letter - FREE book - Mayo Clinic PressMayo Clinic Health Letter - FREE book AnnuloplastyRequest an Appointment PRC-20214389 Patient Care & Health Information Tests & Procedures Mitral valve repair and mitral valve replacement