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Mitral Valve Video Series: Day 6
The Art and Science of Mitral Valve Repair – A Surgeon’s Perspective


Have you ever wondered how heart surgeons ensure a mitral valve repair will stand the test of time? It’s a blend of precision, experience, and a bit of hydraulic engineering.

Here’s a fascinating insight: Mitral valve repair is like restoring a delicate piece of machinery. The key steps include:

  1. Re-attaching broken ‘strings’ (chordae) to restore proper leaflet movement
  2. Reshaping the valve with a band or ring to ensure a tight seal
  3. Testing the repair by filling the heart with saline solution

The crucial test? Surgeons look for an overlap of 0.8-1cm along the entire length of the valve leaflets. This seemingly small detail is the difference between a repair that lasts a few years and one that lasts a lifetime.

Stay heart-healthy,

Mr. Birdi
Cardiothoracic Surgeon
BMed Sci (Hon) BM BS FRCS (CTh) MCh