[x] close

Like this on Facebook

Heart News | Valve Disorders
heart vascular health line art

When Should a Leaky Heart Valve be Repaired or Replaced?

Ask our experts about leaky heart valves

This article is more than 2 years old.
There may be more recent information available.

Last week we hosted a web chat on heart valve disease.  During the chat, Dr. Thomas answered one of the most commonly asked questions by his patients:  When should a leaky aortic or mitral valve be replaced?

See more questions and answers by cardiologist Dr. Thomas and heart surgeon Dr. Soltesz at the heart valve disease web chat transcript.

Tags: heart surgery, Valve Disease, web chat
Cleveland Clinic now offers same-day appointments. Get the care you need, right away at 888.223.CARE.

We welcome your comments. However, we cannot provide a medical opinion without an in-person consultation. To learn about Cleveland Clinic services available to you, please fill out our WebMail form.
  • Rex Ryan

    An impressive share, I just given this onto a colleague who was doing a little analysis on this. And he in fact bought me breakfast because I found it for him.. smile. So let me reword that: Thnx for the treat! But yeah Thnkx for spending the time to discuss this, I feel strongly about it and love reading more on this topic. If possible, as you become expertise, would you mind updating your blog with more details? It is highly helpful for me. Big thumb up for this blog post!

  • Ronald

    IN 1988 I HAD ENDOCARTIDIS CAUSE BY NOT TAKING MEDICATION WHEN GOING TO THE DENTIST. MY DOCTORS SAID THAT IT WAS ONLY A FLU GOING AROUND AND TO GO HOME AND NOT TO WORRY. WELL A WEAK HAD GONE BY AND I WAS GETTING WORSE WHERE MY TEMPERATURE HAD GONE UP TO 103.4. MY DOCTORS SAID NOT TO WORRY THAT THIS WILL GO AWAY. WELL TWO DAYS LATER I WENT TO THE ER AND THEY TOOK BLOOD CULTURES COMING BACK AS POSITIVE
    WITH A TEMPERATURE AT 105.5 THEY RUSHED ME RIGHT IN TO A ROOM AND BEGAN WITH AN IV BAG WITH MEDS TO START GETTING RID OF THE INFECTION. WELL ABOUT 6 WEEKS LATER AFTER THIS TREATMENT MY FEVER BROKE AND LEFT THE HOSPITAL BUT WITH THE RESULTS OF THIS DAMAGING MY MITRO VALVE TO THE POINT OF SEVERE LEAKAGE. IT HAS BEEN SEVERAL YEARS NOW AND MY HEART HAS STAYED THE SAME, WHICH MY DOCTOR SAID THAT ANYONE ELSE WOULD HAVE BEEN IN FOR SURGERY A LONG TIME AGO. I HAVE HAD TWO OR THREE DR’S EVALUATE MY VALVE AND SAID YOU NEED TO GO IN NOW FOR THE OPERATION AND THAT WAS BACK IN 1989. THE DR’ THAT I AM GOING TO WAS THE ONLY DOCTOR THAT SAID LEAVE IT ALONE AND COME IN ONCE A YEAR FOR AN ECHO. WELL SINCE 1990 I HAVE BEEN GOING EVERY YEAR TO SEE MY DOCTOR AND FOUND EVERYTHING TO BE OKAY. BY PUTTING OFF ANY OPERATIONS THEY HAVE COME SO FAR IN THE STUDY OF THE VALVE AND NOW IT CAN BE REPAIRED AND NOT REPLACED AND ALSO CAN BE DONE IN A NON INVASIVE WAY. HE HAS TOLD ME BY YOU WAITING THIS LONG THAT MEDICINE HAS COME A LONG WAY AND STILL WITH THE SEVERE LEAKAGE YOU MIGHT STILL NOT HAVE IT DONE EVEN WHEN I AM RETIRED. BUT THAT IS JUST A GUESS. BUT I OWE EVERYTHING TO MY DOCTOR FOR IF IT WAS NOT FOR HIM THAT I WOULD HAVE ALREADY HAVE BEEN GOING IN FOR A SECOND TIME ON REPLACING A PIGS VALVE LIKE THEY WANTED TO DO BACK IN 1988. BUT EVERY TIME THAT I DO GO HE SAY’S TO ME THAT DON’T THINK NEXT TIME YOU COME HERE YOU MIGHT NOT NEED SURGERY. IF I WERE TO HAVE THIS DONE I WOULD BE THINKING ABOUT HAVING IT DONE BY ROBOTICS THEN THE OLD ZIPPER. I HOPE THAT I HAVE ATTRIBUTE SOME HELPFUL INFORMATION.

    • CC Heart

      Ronald – thank you for your note. I am glad you have been doing so well. Please continue your follow up visits with your cardiologist. Here is a link with information on valve disease you may find helpful. If you had endocarditis before, you are more prone to it in the future – so always remember that it is important to take steps to protect your heart valve too. Sincerely, betsyRN