Mayo Clinic's approach

Mayo Clinic team discussion

A multidisciplinary team of doctors and staff discusses research and technology, such as 3-D printing of models of the heart.

Your Mayo Clinic care team

At Mayo Clinic, cardiac surgeons work together as a team with cardiologists and other health care professionals to provide coordinated, comprehensive care for people undergoing mitral valve repair or mitral valve replacement.

Doctors collaborate to treat your condition. If you have other conditions in addition to mitral valve disease, doctors can often evaluate and treat other conditions during your visit. If you have other heart conditions that require surgery, surgeons may often perform these procedures at the same time as mitral valve repair or mitral valve replacement.

Advanced technology and treatment options

Doctors at Mayo Clinic perform the most current procedures and study new procedures for mitral valve repair and mitral valve replacement. For people with mitral valve disease, Mayo doctors may often recommend repairing the mitral valve when possible, as it preserves the mitral valve and may preserve heart function.

Having mitral valve repair may also allow some people to avoid complications that can occur with mitral valve replacement, such as the risk of blood clots with replacement valves and the risk of biological tissues valves failing over time. Some people with mitral valve disease may need mitral valve replacement.

Mayo Clinic doctors offer advanced treatment options, including minimally invasive heart surgery, which involves smaller incisions and may involve a quicker recovery than open-heart surgery. Doctors may evaluate you to determine if you're a candidate for minimally invasive heart surgery. Mayo cardiac surgeons have extensive experience and expertise in performing minimally invasive heart surgery to treat mitral valve disease.

Minimally invasive heart surgery includes surgery performed using instruments inserted through one or more small incisions in the chest (thoracoscopic surgery), surgery performed through a small incision in the chest, or surgery performed by a surgeon using robotic arms (robot-assisted heart surgery).

Minimally invasive heart surgery at Mayo Clinic

A Mayo Clinic surgeon performs minimally invasive heart surgery using long instruments inserted through small incisions in the chest.

In robot-assisted heart surgery, a surgeon sits at a remote console, viewing the heart in a magnified 3-D view on a video monitor and using robotic arms to conduct the procedure. A second surgeon and a surgical team assist at the operating table.

Robot-assisted heart surgery team at Mayo Clinic

A Mayo Clinic surgeon and surgical team assist with robot-assisted heart surgery, while another surgeon sits at a remote console controlling the robotic arms.

Mayo doctors may also use innovative minimally invasive procedures to repair a mitral valve using long, thin tubes (catheters) and clips or other devices. For example, doctors may repair a valve by inserting a catheter with a clip attached in an artery in the groin and guiding it to the mitral valve. Doctors use the clip to reshape the mitral valve. People who have severe symptoms of mitral valve regurgitation and who aren't candidates for surgery or who have high surgical risk may be considered for this procedure.

Individualized approach

Doctors at Mayo Clinic provide care for you as a whole person. Doctors take the time to get to know you and work with you to provide exactly the care you need.

Research and innovation

Mayo Clinic doctors and researchers are involved in developing and testing advanced technology and techniques used to perform mitral valve repair and mitral valve replacement, such as minimally invasive heart surgery.

Mayo Clinic doctors are also studying and developing new minimally invasive catheter procedures to repair or replace a mitral valve. For example, Mayo doctors may replace a mitral valve during a catheter procedure for some people with severe mitral valve disease who aren't candidates for surgery in a clinical trial.

Researchers study many areas related to heart valve diseases, including research in new blood-thinning medications for people with a mechanical valve replacement and genetics research in people with mitral valve disease.

The Mayo Clinic experience and patient stories

Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care like they've never experienced. See the stories of satisfied Mayo Clinic patients.

  1. Routine Checkup Leads to Lifesaving Heart Surgery

    Brian Schilling was shocked to learn he had a dangerous condition that required surgery to repair one of his heart valves. But the procedure went off without a hitch, and Brian's grateful for the thorough care he received through Mayo Clinic Health System. Brian Schilling didn't think he had any medical concerns when he went [...]

Expertise and rankings

Collaboration

A Mayo Clinic doctor and surgeon collaborate and discuss mitral valve repair and replacement.

Experience and expertise

Mayo Clinic cardiologists and cardiac surgeons have experience and expertise evaluating and treating people who may need mitral valve repair or mitral valve replacement. Mayo doctors perform more than 500 mitral valve repairs and mitral valve replacements each year.

Pediatric cardiologists and pediatric cardiac surgeons at Mayo Clinic's campus in Minnesota have experience treating children with mitral valve disease and other heart conditions.

Cardiovascular surgery experience

Mayo Clinic cardiovascular and cardiothoracic surgeons at Mayo Clinic's campuses in Arizona, Florida and Minnesota have extensive experience performing a wide range of cardiac surgeries. Mayo doctors have been pioneers in cardiac surgery for many years. Mayo cardiac surgeons perform more than 4,500 cardiac surgeries each year.

Treatment expertise

Mayo Clinic doctors have expertise in evaluating and treating many cardiovascular diseases, from common diseases to highly complex conditions. Doctors trained in valve diseases, adult and pediatric congenital heart disease, and other areas may evaluate and treat people with cardiovascular diseases.

Mayo doctors in the Valvular Heart Disease Clinic have extensive experience and expertise evaluating and treating people with mitral valve disease and other heart valve diseases. Cardiologists evaluate people with mitral valve disease and determine whether mitral valve repair, mitral valve replacement or another treatment is most appropriate.

Nationally recognized expertise

Mayo Clinic in Rochester, Minn., Mayo Clinic in Phoenix/Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals for heart and heart surgery by U.S. News & World Report. Mayo Clinic Children's Center in Rochester, Minn., is ranked among the Best Children's Hospitals for heart and heart surgery by U.S. News & World Report.

With Mayo Clinic's emphasis on collaborative care, specialists at each of the campuses — Minnesota, Arizona and Florida — interact very closely with colleagues at the other campuses and the Mayo Clinic Health System.

Learn more about Mayo Clinic's cardiac surgery and cardiovascular diseases departments' expertise and rankings.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

March 24, 2018
References
  1. What is heart valve disease? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hvd. Accessed Sept. 20, 2016.
  2. Mitral regurgitation. Merck Manual Professional Version. http://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-regurgitation. Accessed Sept. 23, 2016.
  3. Mitral stenosis. Merck Manual Professional Version. http://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis. Accessed Sept. 22, 2016.
  4. Gaasch WH. Management of chronic primary mitral regurgitation. http://www.uptodate.com/home. Accessed Aug. 16, 2016.
  5. Otto, CM, et al. Mitral valve repair and replacement. In: Valvular Heart Disease: A Companion to Braunwald's Heart Disease. 4th ed. Philadelphia, Pa.: Elsevier Saunders; 2014.
  6. Barbara Woodward Lips Patient Education Center. Getting ready for heart surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2011.
  7. How can I prepare for heart surgery? American Heart Association. https://www.nlm.nih.gov/medlineplus/heartsurgery.html. Accessed Sept. 25, 2016.
  8. AskMayoExpert. Mitral regurgitation. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
  9. AskMayoExpert. Mitral stenosis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
  10. Aldea GS. Minimally invasive aortic and mitral valve surgery. http://www.uptodate.com/home. Accessed Aug. 15, 2016.
  11. Sorajja P, et al. Initial experience with commercial transcatheter mitral valve repair in the United States. Journal of the American College of Cardiology. 2016;67:1129.
  12. Nishimura RA, et al. Mitral valve disease — Current management and future challenges. The Lancet. 2016;387:1324.
  13. Nishimura RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: Executive summary. Journal of Thoracic and Cardiovascular Surgery. 2014;148:e1.
  14. Barbara Woodward Lips Patient Education Center. Minimally invasive heart surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  15. What is heart surgery? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hs. Accessed Sept. 23, 2016.
  16. Guerrero M, et al. Transcatheter mitral valve replacement in native mitral valve disease with severe mitral annular calcification: Results from the first multicenter global registry. JACC. Cardiovascular Interventions. 2016;9:1361.
  17. Ruiz CE, et al. Transcatheter therapies for the treatment of valvular and paravalvular regurgitation in acquired and congenital valvular heart disease. Journal of the American College of Cardiology. 2015;66:169.
  18. Nietlispach F, et al. Percutaneous paravalvular leak closure: Chasing the chameleon. European Heart Journal. In press. Accessed Sept. 23, 2016.
  19. Vernick W, et al. Robotic and minimally invasive cardiac surgery. Anesthesiology Clinics. 2013;31:299.
  20. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Sept. 23, 2016.
  21. Tordsen BW. Surgical Information Recording System. Sept. 11, 2016.

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