Type of Surgery
Information

Last updated: 11/24/2009
There is a 3–5% hospital mortality associated with aortic valve replacement. There is an average survival rate of five years in 85% of patients suffering from aortic stenosis that undergo aortic valve replacement. Structural valve deterioration can...
occur and is higher in mechanical valves during the first five years; however, biological tissue and mechanical valves have the same failure incidence at 10 years, with a 60% probability of death at 11 years as a result of a valve-related complications. Patients with a mechanical valve are more likely to experience bleeding complications. Reoperation is more likely for patients treated with a biological tissue valve, but not significantly different when compared to their mechanical valve counterparts. This combines to an average rate of significant complications of 2–3% per year, with death rate of approximately 1% per year associated directly with the prosthesis.
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Tiny electric currents flow through the heart muscle and cause them to contract, squeezing blood throughout the body. This animation shows the electrical system of the heart and how it is driven by a small patch of tissue called the cardiac pacemaker or sinoatrial node.
The heart is accessed through a chest incision (A). The patient's heart function is replaced by the heart-lung machine. The aorta is cut open to reveal a diseased aortic valve (B), which is then removed. A valve sizer is placed in the opening to determine the size of prosthesis needed (C). A prosthetic valve is sutured in place (D and E). (Illustration by Argosy.)
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Other Information
Aortic valve replacement is a cardiac surgery procedure in which a patient's aortic valve is replaced by a different valve. The aortic valve can be affected by a range of diseases; the valve can either become leaky (aortic insufficiency / regurgitation) or partially blocked (aortic stenosis). Aortic valve replacement currently requires open heart surgery.
Other Information
In 2006, 2,192 heart transplantations were performed in the United States. There are 257 transplant hospitals in the United States, 135 of which perform heart transplantations. (http://www.unos.org/)
From: Unos.org
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