After 30 years of mitral stenosis surgery, another valve has got defect. What to do?

Question

Hi doctor,

The patient suffered from mitral stenosis. Before 30 years, he had surgical operation. Presently, he is suffering from chest pain. After thorough checkup, it reveals that the other valve of the patient got defective. In this regard, we seek your valuable advice. Is it possible to get surgery now? His current medication includes tablet Deplatt 75 mg, Acitrom 1 mg, Aztor 10 mg, tablet Dytor 5 mg, Met XL 25 mg, Metagard CR 60 mg, Ran 500 mg and Rabiplus-D.

Answer 1

Hi,

Welcome to icliniq.com. If you're contemplating valve replacement surgery, it's crucial to maintain strict control over elevated blood pressure and blood glucose levels, both of which are currently above normal (attachment removed to safeguard patient privacy). Additionally, it's important to note that patients under 75 years of age who undergo valve replacement surgery have a 30-month survival rate of 90%, provided they are deemed suitable candidates for the procedure. In cases where surgery is not feasible, symptom relief can be pursued through medications; however, these treatments won't reverse the underlying condition. Such medications might focus on alleviating fluid accumulation, reducing heart rate, and managing rhythm irregularities linked to valvular stenosis. Lowering blood pressure could potentially slow disease progression. Alternatively, non-invasive options like balloon valvuloplasty or transcatheter valve replacement could be considered.