HEART DISEASE EXPERT FORUM
Re: MVP Surgery

Re: MVP Surgery

Posted By Carol on June 06, 1999 at 11:35:30
I am a 56 year old female with severe bileaflet MVP with severe mitral regurgitation, normal left ventricular function, left atrium is mildly enlarged.  My cardiologist has recommended that I have surgery now while the only symptom is fatigue, rather than wait.  I just had a cardiac catherterization and I appear to be an excellent candidate for repair rather than replacement.  (Would a TEE need to be done as well?)
To optimize my chance of repair I will need to find an "experienced" surgeon in my area or make the case to the insurance company that I need to have this done by Dr. Cosgrove in Cleveland.  Experience can be quantified and compared and therefore I would like the following statistics, and any others you feel relevant.
How many MVP surgeries (for regurgitation, not stenosis) did Dr. Cosgrove perform in 1998?
How many of those were repair rather than replacement?
How many of his anticipated repairs have typically resulted in replacement instead?
What percentage of repairs typically needs to be redone in a 1-3 year period?
What would you consider a minimum annual number of MVP repairs to constitute adequate surgical experience by a respected cardio-thoracic surgeon in a university medical center setting?
What follow-up care is done by the surgeon after discharge from the hospital?

Thank you,
Carol




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Posted By Annie on June 07, 1999 at 21:34:34
Hi Carol!
I also had a mitral valve repair in last January, if u would like to
hear from it, contact me directly, i would be glad to share my experience
with you.
Take care and good luck.
Annie.




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Posted By peggy on June 07, 1999 at 23:02:39

I have been diagnosed with mild mitral insufficiency.  Does this mean that I will need surgery.  I am 44 and did not even know I had this until after a EKG during a physical less than a year ago.  Your experience with Mitral Valve Insufficiency would be appreciated.




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Posted By Annie on June 09, 1999 at 14:09:18
Hi peggy!
i had mild regurgitation for 28 years before it degenerated in severe
regurg (4+/4).  i didn't limit myself in anyway doing sports or
demanding activities and this conditions didn't bothered me until last summer
when i started experiencing limitations to what i was able to do.
My best advice would be to be followed annually by a good cardiologist, living
a healthy life, exercice regurlarly and try not think about it to much.
You have few chances that it will degenerate to the point where you will
require a surgery.
Best of luck, hope this will help and if u have further questions don't hesitate to contact me again.
Annie.










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