Heart Valve Repair and Replacement

Institutes & Services > TriHealth Heart Institute

Leading-Edge Heart Care for Cincinnati

As national leaders in robotic-assisted mitral valve repair, our surgeons have extensive experience in heart valve repair and replacement. In fact, we have a case volume that ranks among the top five in the country.

We are also one of the first hospitals in the United States – and one of four in Ohio – to offer transcatheter aortic valve replacement (TAVR).

When is Heart Valve Repair and Replacement Used?

When a heart valve is not working, cardiac surgery is often used to replace or repair the diseased valve. Repairing a heart valve, when possible, is often preferable to replacement, as there is a reduced risk of complications.

Our Numbers Prove Our Excellence

J. Michael Smith MD and the surgical team at Good Samaritan Hospital have been providing exceptional care for mitral valve repair patients for over 10 years. Patient outcomes tell the story in this comparison against top-performing, non-robotic peers*.

  • 13% less likely to experience a complication
  • Death rate following surgery is 100% better
  • 49% less time in the hospital
  • 64% less likely to return to the hospital following surgery
  • 19% lower total costs

*Premier Quality Advisor – CareScience CY14 Top Performing Cohort for all outcomes

  • Watch: TriHealth Medical Minute: Mitral Valve Disease

  • Mitral Valve Surgery

    The best available surgical treatment for mitral valve disease is valve repair. Valve repair involves the surgeon reconstructing your valve using your own tissues. Valve repair offers a number of significant, life-long benefits compared to valve replacement. These include a lower risk of mortality, a better chance of long-term survival and more freedom from re-operation. Our surgeons repair rather than replace the mitral valve in 90 percent of cases, outpacing the national average of 60 percent repairs. Best of all, at our Heart Institute, valve repair generally can be done using robotic-assisted surgery.

    Benefits of Robotic-Assisted Mitral Valve Surgery

    Robotic-assisted mitral valve surgery is an alternative to conventional open heart surgery, giving our patients a less invasive treatment option. Traditional open heart surgery involves sternotomy – cutting through the breastbone and opening the ribs. Sternotomy can cause significant trauma, prolong healing time, and increase the risk for serious complications – even resulting in mortality. Moreover, an open approach doesn’t always provide the visualization and access necessary to complete a repair.

    In addition to avoiding the pain and trauma of sternotomy and rib spreading, this may provide patient benefits such as:

    • Less risk of infection
    • Less blood loss and need for blood transfusions
    • Shorter hospital stay
    • Significantly less pain and scarring
    • Faster recovery
    • Quicker return to normal activities

    Over five years, our Institute’s observed mortality rate for mitral valve replacement and repair, plus bypass is 0 percent, which is better than 92.5 percent of hospitals nationally. The observed mortality for aortic valve replacement is 1.6 percent, which is better than 93.5 percent of hospitals nationally.

    Transcatheter Aortic Valve Replacement

    Up to 1.5 million people in the United States suffer from aortic stenosis, a progressive disease that causes narrowing or obstruction of the aortic valve. We are one of the first hospitals in the U.S. to offer transcatheter aortic valve replacement (TAVR), for patients suffering from aortic stenosis. TAVR is a minimally invasive treatment option for those who are not candidates for open heart surgery. Learn more.

    As with any surgery, these benefits cannot be guaranteed, as surgery is both patient- and procedure-specific. While robotic-assisted mitral valve surgery is considered safe and effective, it may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

    TriHealth.com Health Library: Heart Valve Repair and Replacement
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