Most people who have mitral valve prolapse (MVP) don't need treatment because they don't have symptoms and complications.
Even people who do have symptoms may not need treatment. The presence of symptoms doesn't always mean that the backflow of blood through the valve is significant.
People who have MVP and troublesome mitral valve backflow may be treated with medicines, surgery, or both.
The goals of treating MVP include:
Medicines called beta blockers may be used to treat palpitations and chest discomfort in people who have little or no mitral valve backflow.
If you have significant backflow and symptoms, your doctor may prescribe:
Take all medicines regularly, as your doctor prescribes. Don't change the amount of your medicine or skip a dose unless your doctor tells you to.
Surgery is done only if the mitral valve is very abnormal and blood is flowing back into the atrium. The main goal of surgery is to improve symptoms and reduce the risk of heart failure.
The timing of the surgery is important. If it's done too early and your leaking valve is working fairly well, you may be put at needless risk from surgery. If it's done too late, you may have heart damage that can't be fixed.
Traditionally, heart surgeons repair or replace a mitral valve by making an incision (cut) in the breastbone and exposing the heart.
A small but growing number of surgeons are using another approach that involves one or more small cuts through the side of the chest wall. This results in less cutting, reduced blood loss, and a shorter hospital stay. However, not all hospitals offer this method.
Source: National Heart, Lung, and Blood Institute; National Institutes of Health; U.S. Department of Health and Human Services.
Some of the ways in which your surgeon can repair your mitral valve include:
If you have a mitral valve condition and are in need of an evaluation and possible surgical treatment, or if you are interested in other clinical trials that are available, talk to your physician or cardiologist about a referral to The Heart Valve Center of Texas.
Referring physicians may call 469.814.3480 to schedule a patient for evaluation. To learn about current research studies, call 469.814.4720.
Physicians are members of the medical staff at one of Baylor Health Care System's subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical centers, The Heart Hospital Baylor Plano or Baylor Health Care System.