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  FDA Heart Health Online --  Your Source for FDA Information about Living with Cardiovascular Disease.

 

Prosthetic Heart Valve:

On this page:
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What is it?
Prosthetic Heart Valve Illustration
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A prosthetic (artificial) heart valve is a replacement for a diseased or dysfunctional heart valve. There are two types of artificial valves:

  • mechanical heart valve
    A mechanical heart valve is made of man-made materials. The advantage of mechanical valves is that they can usually last a lifetime. They do not wear out the way natural or biological valves do.
     
  • biological heart valve
    Biological heart valves are made from tissue taken from animals or human cadavers. They are treated with preservatives and sterilized for human implantation.
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When is
it used?
A prosthetic heart valve is used to replace a heart valve that leaks or has thickened, hardened, or stretched. If the valve fails to open and close properly, it decreases the efficient flow of blood through the heart and results in an increased workload. Over time, this can lead to heart failure.

Two conditions that may require heart valve replacement are stenosis and insufficiency.

  • In stenosis, the valve has a smaller opening than the original valve. The heart has to work much harder at pushing the blood through. Over time this can cause strain on the heart and could even lead to death.
     
  • In insufficiency (or regurgitation), the valve leaks. This may allow the blood to flow backward through the heart.
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How does
it work?

Like natural heart valves, prosthetic heart valves open and close when the heart contracts and relaxes. As they open, they permit blood to flow in the proper direction. When they close, they prevent blood from flowing backward (backflow).

Heart valve replacement requires open heart surgery done under general anesthetic.

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What will it accomplish?

Replacing the heart valve will allow proper blood flow through heart.

Heart valve replacement is done when damage to the heart valve starts to significantly affect the ability of the heart to function. A patient who has a diseased, damaged, or malfunctioning heart valve may feel weak, tired, or otherwise handicapped. Replacing a heart valve can lengthen or save a person’s life and increase the quality of life.

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What are
the risks?

Heart valve surgery carries risks of severe complications. Potential complications include bleeding, development of blood clots, respiratory failure, infection, and device failure.

Your doctor can tell you more about the risks associated with prosthetic heart valves.

In addition, there are some risks associated with each type of heart valve.

  • mechanical heart valves
    Mechanical heart valves can increase the risk of blood clots. Because of this, patients must take blood thinners for the rest of their lives. Even though blood thinners are relatively safe, they do increase the risk of bleeding in the body.
     
  • biological heart valves
    Biological heart valves may wear out over time. They may need to be replaced every 10 to 15 years.
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When should
it not be used?

Mechanical heart valves should not be placed in patients who can not tolerate long-term anticoagulation therapy.

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Recently approved prosthetic heart valves:

Find information about specific prosthetic heart valves from FDA's Recently Approved Devices listings.

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Search all prosthetic heart valves:
Links:
  • What is Heart Valve Surgery?
    American Heart Association
    http://www.americanheart.org/presenter.jhtml?identifier=3007457
     
  • Heart Valve Surgery
    MedlinePlus Health Encyclopedia
    http://www.nlm.nih.gov/medlineplus/ency/article/002954.htm

Updated February 27th, 2004


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