A Heart valve replacement surgery in Iran includes replacing a damaged valve in your heart with a mechanical valve or a tissue valve. A new valve will relieve the strain and aims to ease symptoms such as breathlessness and chest pain. Heart valve replacement surgery in iran is complicated than most of the heart surgeries in iran and only the best surgeon should be approached for your problem.
Heart valve surgery is used to repair or replace diseased heart valves.
Blood that flows between different chambers of your heart must flow through a heart valve. Blood that flows out of your heart into large arteries must flow through a heart valve.
These valves open up enough so that blood can flow through. They then close, keeping blood from flowing backward.
There are four valves in your heart:
Your surgeon may recommend that you have your faulty valve replaced with a new prosthetic (artificial) one. There are two main types of prosthetic valves.
1.Mechanical valves: These are made from carbon and metal and are very long lasting. If you have this type of valve you’ll need to take blood thinning medicine (anticoagulants) for the rest of your life. This is to prevent blood clots forming.
2.Tissue (biological or bioprosthetic) valves: These are usually made from animal (pig or cow) tissue and may wear out faster than mechanical valves. They may need to be replaced every 10 to 20 years. You may not need to take life-long blood thinning medicine with this type of valve.
Your surgeon will discuss the pros and cons of each type of valve and help you decide which is best for you.
Before you go into hospital, think about any preparations you need to make. Note that many people are in hospital for about a week after this type of surgery. You may need to arrange for family or friends to be with you for a while to help with things like cooking, shopping and cleaning. (Remember you won’t be able to drive or do heavy lifting for some time after your surgery – your surgeon will advise you about this). If you can, it’s a good idea to stock the freezer with some pre-prepared meals.
Your surgeon will explain how to prepare for your operation. If you smoke, you will be strongly advised to stop. This is because smoking increases your risk of getting a chest or wound infection, which can mean it takes longer to recover after the operation.
You’ll have your heart valve surgery under general anaesthesia. This means you’ll be asleep during the operation. A general anaesthetic can make you sick so it’s important that you don’t eat or drink anything for six hours before your operation. Follow your anaesthetist or surgeon’s advice – it’s important to have an empty stomach before having a general anaesthetic. If you have any questions, just ask.
You may need to wear compression stockings to keep your blood flowing. You may also need to have an injection of a medicine called heparin to help prevent blood clots forming in the veins in your legs.
After Heart Valve Replacement Surgery in Iran, you may be taken to the intensive care unit (ICU) or high dependency unit (HDU) of the hospital. When you wake up, you’ll be connected to machines that record the activity of your heart, lungs and other body systems. These might include a ventilator machine to help you breathe. When your medical team are happy you’re recovering safely they’ll move you to a surgical ward.
You’ll need pain relief as the anaesthetic wears off. You may be given patient controlled analgesia (PCA) once you wake up. This is a pump that’s connected to a drip in your arm and allows you to control how much pain medicine you have.
You’ll be encouraged to get out of bed and move around as soon as possible. This will help to prevent chest infections and blood clots in your legs. A physiotherapist will visit you regularly after the operation to help you do exercises to aid your recovery.
You’ll be able to go home when you and your surgeon feel that you’re ready. Many people are in hospital for around five days after heart valve surgery. Make sure someone can take you and stay with you for a day or so.
Your nurse will give you advice about caring for your healing wounds before you go home. You may be given a date for a follow-up appointment.
If you have wires in your breastbone from the operation, these will be permanent. The dissolvable stitches your surgeon used to close your skin wound will slowly dissolve over several weeks and don’t need to be removed.
You may need to be patient – a full recovery from heart valve surgery can take two to three months.
If you have a mechanical valve replacement, you’ll need to take a blood thinning medicine (an anticoagulant, usually warfarin). You’ll need to take this for the rest of your life to prevent blood clots forming around the new valve. If you have a tissue (biological) valve replacement, you may only need to take these medicines for a few months after your operation. However, you may need them for longer.
You shouldn’t drive for at least a month after your surgery, and then only when you feel you can do so safely. If you’re in any doubt about driving, contact your motor insurer so that you’re aware of their recommendations, and always follow your surgeon’s advice.
Your surgeon will give you advice about how soon you can return to work and resume your other activities.
increasing tenderness or redness round your wound
persistent bleeding or pus coming from your wound
a high temperature or fever
new or severe heart palpitations (a sensation of a skipping or thumping heart beat)
shortness of breath that doesn’t get better if you rest
chest pain that’s different from the pain in your wound
Remember, you’ve been through a major operation. Expect to have good days and less good days. Be kind to yourself and accept help where it’s offered. Don’t worry if progress seems slow – you will gradually get back to your normal activities and feel well again.
Valve repair or replacement is generally safe. However, as with any surgery or procedure, complications can occur. Possible risks associated with treatment include:
Bleeding during or after treatment or damage to the blood vessels
Blood clots that can cause heart attack, stroke, or lung problems
Infection at the incision site
Infection in the new valve (endocarditis), which is more common with valve replacement
Arrhythmias (abnormal heart rhythms) or the need for a permanent pacemaker
Valve failure, also more common with replacement
Bad reaction to anesthetics