Surgery of the heart valves without using artificial prostheses

Written by: Dr. Xavier Ruyra Baliarda
Edited by: Top Doctors®

Cardiac valve surgery can be done by reconstructing it, avoiding using artificial prostheses. The postoperative recovery of the patient is much faster and, the complications that may arise diminish .

Heart valves are complex structures whose function is to open and close in a coordinated manner so that blood circulates in the right direction. There are 4: aortic valve, mitral valve, tricuspid valve and pulmonary valve. All of them can be affected by different pathologies in the form of stenosis (obstruction to flow) or insufficiency (inability to close properly) .


The abnormalities in the heart valves can be solved without having to change them for artificial prostheses. In cases of valvular insufficiency we can perform a repair or conservative surgery of the patient's own valve. In cases of stenosis , we can open the valve itself (comisurotomy), change it for human tissues (homografts) or perform the Ross operation .

Repair of heart valves

By preserving the valve itself, we often avoid the patient having to take anticoagulants (Sintrom®) for life and preserve the architecture and function of the heart. The postoperative recovery is faster and the complications much smaller.

Although it is not always possible to repair the heart valves. In the problems of mitral regurgitation, we can repair it with guarantees and good long-term results , almost 100% of the valves. In cases of aortic insufficiency, the percentage is approximately 50-60%.

Decrease the risk

Currently you can perform heart surgery with a very low risk (1-2%). The risk is variable for each patient and depends on age, cardiac pathology, the contractile function of the heart and the presence of other pathologies added (renal failure, previous embolisms, etc ...).

Operation of Ross

The Ross operation is used in young patients with aortic valve problems. It consists of replacing the diseased aortic valve with the patient's own pulmonary valve. In pulmonary position we implant a cryopreserved pulmonary homograft. The results are very good, the patient should not take anticoagulants and can live a full and totally normal life.

*Translated with Google translator. We apologize for any imperfection

By Dr. Xavier Ruyra Baliarda
Cardiovascular Disease

He is an eminence of cardiac surgery, Head of the Cardiac Surgery Service of the Germans Trias i Pujol University Hospital and Head of the Vida al Cor Unit of the Cardiovascular Institute of Quirón-Teknon Medical Center. He is one of the foremost experts in mitral valve repair, avoiding having to take anticoagulants, in the operation of Ross, new aortic valves without suture and in the reconstruction surgery of the cardiac cavities. He has also developed multiple surgical techniques.

*Translated with Google translator. We apologize for any imperfection

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