Heart is one of the main organs of the body assigned with the important function of pumping blood throughout the body while also receiving the impure (deoxygenated) blood and sending the same to lungs for purification (oxygenation). The heart beats for around 3 billion times and pumps around 400 million litres of blood during an average life expectancy of 75 years.

Heard consists of 4 chambers that is 2 upper chambers known as atria and 2 lower chambers known as ventricles. The  impure blood returns to heart from different parts of the body to the right side. It is then pumped into the lungs, purified (oxygenated), enters back into the heart in the left side and then the pure blood is pumped to the entire body. Thus, Heart is like a pump, it beats constantly to supply blood to all body parts, & also to itself.

The hearts beats in a cyclical fashion and the flow of blood is unidirectional i.e. it enters the right atrium, goes to the right ventricle, then to the lungs, then comes back to the left atrium, goes to the left ventricle and then to the whole body. It is very important to maintain this unidirectional flow otherwise the blood can leak back into the chamber from where it has been pumped and cause serious problems. To ensure that the blood doesn’t flow back, Nature has provided us with valves. There are 4 valves: 

  • Tricuspid valve that is present between the right atrium and the right ventricle. It is also called the right atrioventricular valve. It is called tricuspid because it has 3 cusps or leaflets
  • Pulmonary valve that is present between the right ventricle and the lungs
  • Bicuspid valve that is present between the left atrium and the left ventricle. It is also called the mitral valve as it resembles the hat of bishop’s miter or the left atrioventricular valve. It is called bicuspid because it has 2 cusps or leaflets.
  • Aortic valve that is present between the left ventricle and the aorta from where the oxygenated blood is pumped throughout the body. This valve is most vulnerable to damage as it has to pump blood against a very high resistance of the aorta which is the largest blood vessel of the body.
As each chamber of the heart contracts, it pushes a volume of blood into a ventricle or out of the heart into an artery. Valves open and close in response to pressure changes as the heart contracts and relaxes. Each of the four valves helps ensure the one-way flow of blood by opening to let blood through and then closing to prevent its backflow.

How do the heart valves work?
As each chamber of the heart contracts, it pushes a volume of blood into a ventricle or out of the heart into an artery. Valves open and close in response to pressure changes as the heart contracts and relaxes. Each of the four valves helps ensure the one-way flow of blood by opening to let blood through and then closing to prevent its backflow.
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Frequently asked questions about Valves

What are some of the types of heart valve diseases?

When a Heart valve opens only partially, making the heart work very hard to pump blood through it, is called Valvular stenosis, all 4 valves can get stenosis:

  • Tricuspid stenosis
  • Pulmonary valve stenosis
  • Mitral stenosis
  • Aortic stenosis


Regurgitation – The valve which does not shut correct. It leaks, many a times leading to high amount of backflow of blood. All the valves can get affected and lead to regurgitation

  • Tricuspid regurgitation
  • Pulmonary regurgitation
  • Mitral regurgitation, better known as mitral valve prolapse (MVP)
  • Aortic regurgitation
What are the causes of heart valve diseases?

Diseases in the heart valves can be caused by multiple reasons. Some of the major ones are:

  • A birth defect 
  • An inflammation of the heart tissue known as Infective endocarditis.
  • Rheumatic fever, an inflammatory infection usually caused by Streptococcus bacteria 
  • Changes such as calcium deposits due to ageing
  • A heart attack 
  • Coronary artery illness, a narrowing and solidifying of arteries supplying blood to the heart 
  • Cardiomyopathy, which includes degenerative changes within the heart muscle 
  • Syphilis, a Sexually Transmitted Disease can cause problems in the aortic valve but it is very uncommon today as the disease is usually managed before it aggravates to an extent that it can cause damage to the heart.
  • Hypertension, or high blood pressure 
  • Aortic aneurysm, an irregular swelling or bulging of the aorta 
  • Atherosclerosis, narrowing of the arteries caused by plaque formation due to deposition of cholesterol and subsequent inflammation.
  • Myxomatous degeneration, a weakening of connective tissue within the mitral valve 
  • Lupus, a persistent immune system disease.
What are the symptoms of heart valve diseases?
  • Dizziness or fainting
  • Breathing difficulty 
  • Heart palpitations, rapid heart beating
  • Chest pain 
  • Unexplained swelling within the body
What is the treatment for a blocked heart valve?

Medications, or if symptoms increase in severity, Heart Valve surgery is necessary which can be traditional or a minimally invasive procedure called as balloon valvuloplasty.

What are the signs of a bad heart valve?

Shortness of breath, chest pain, weariness, swollen lower legs and feet, trouble working out, fast or unpredictable pulse.

Can heart valves be treated with medication?

Medications can be prescribed to help get relief from symptoms and decrease the danger of further issues with heart valve disease. Although the medication does not help to keep a valve from leaking or it does not help to open a valve which is extremely constricted.

How long is the recovery time of a heart valve surgery?

It generally takes four to eight week for recovery. In case of minimal invasive surgery, the recovery is even sooner. The specialists will guide on the instructions post surgery on physical activities, ongoing wound care and getting back to routine.

What is the success rate of heart valve replacement surgery?

The life expectancy of the patient definitely increases with the replacement surgery of the heart valve. Due to advancement in the medical technologies and the heart care facilities, specialists have reported a success rate of about 94-97 percent. 

Which are the best hospitals in India for heart valve replacement surgeries?
  • Fortis Escorts Heart Institute, New Delhi, 
  • Medanta The Medicity in Gurgaon, 
  • Wockhardt Hospital and Nanavati Hospital in Mumbai; 
  • Manipal Hospital, Bangalore; 
  • Apollo CVHF, Zydus, Epic and Apex Hospitals in Ahmedabad.
Which type of replacement heart valve lasts the longest?

The valves that are manufactured that is artificial valves usually last very long. These are made strong and durable biocompatible materials.

What tests are useful for diagnosis of heart valve diseases?

Heart Valve is diagnosed with the main test known as Echocardiography, also known as Echo. Apart from this, few others like Electrocardiogram (ECG), nuclear cardiac stress test, Coronary angiogram, Coronary computed tomography angiogram (CCTA) might also be useful.

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About the Valves and related Valve Conditions:
Tricuspid valve:

The tricuspid valve is named after the three flaps called cusps, or leaflets. Blood flows through this valve post leaving the right atrium. After passing through the tricuspid valve, blood flows into the right ventricle.

Valve problems:

  • Tricuspid atresia
  • Tricuspid regurgitation
  • Tricuspid stenosis


Pulmonary valve: 

This valve is present between the right ventricle and the lungs. The deoxygenated blood leaves the right ventricle and enters the lungs. It shuts the right ventricle to prevent backflow of blood

Valve problems

  • Pulmonary valve stenosis
  • Pulmonary valve regurgitation


Mitral valve:

The mitral valve shuts the left atrium, permitting oxygenated blood from the lungs to flow to the left ventricle.

Valve problems: 

  • Mitral valve prolapse
  • Mitral valve regurgitation
  • Mitral valve stenosis


Aortic Valve:

The aortic valve is the ultimate valve that oxygen-rich blood passes through prior to exiting the heart and running through the rest of the body. This valve is most vulnerable to damage as it has to pump blood against a high resistance vessel and hence to make more effort with each beat.

Valve problems: 

  • Aortic regurgitation
  • Aortic stenosis

Heart valve issues have two major categories:

  • Stenosis – The limited opening of the valve that obstructs the flow of blood
  • Regurgitation – The valve which does not shut correct. It leaks, many a times leading to high amount of backflow of blood.


Symptoms of Heart Valve disorders:

  • Feeling dizzy or fainting
  • Feeling short of breath
  • Heart palpitations, which happen when the heart skips a beat
  • Chest pain
  • Unexplained swelling in the body


Causes of heart valve disorders:

  • A birth defect 
  • An inflammation of the heart tissue known as Infective endocarditis.
  • Rheumatic fever, an inflammatory infection usually caused by Streptococcus bacteria 
  • Changes such as calcium deposits due to ageing
  • A heart attack 
  • Coronary artery illness, a narrowing and solidifying of arteries supplying blood to the heart 
  • Cardiomyopathy, which includes degenerative changes within the heart muscle 
  • Syphilis, a Sexually Transmitted Disease can cause problems in the aortic valve but it is very uncommon today as the disease is usually managed before it aggravates to an extent that it can cause damage to the heart.
  • Hypertension, or high blood pressure 
  • Aortic aneurysm, an irregular swelling or bulging of the aorta 
  • Atherosclerosis, narrowing of the arteries caused by plaque formation due to deposition of cholesterol and subsequent inflammation.
  • Myxomatous degeneration, a weakening of connective tissue within the mitral valve 
  • Lupus, a persistent immune system disease.


Complications:

Heart valve disease can give rise to many complications, such as:

  • Heart failure
  • Stroke
  • Blood clots
  • Heart rhythm abnormalities
  • Death


Prognosis:

Individuals that undergo surgical treatments for heart valve issues, are at a higher risk while and immediately post-surgery.  Post which the result is usually great.  People who have experienced  surgery are at higher danger of developing infection on the heart valve (endocarditis) all through their life.   

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