Mitral Valve Repair - Posterior leaflet cleft

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simon75

New member
Joined
Nov 10, 2011
Messages
3
Location
UK
Hi all!

I'm starting this thread because my wife needs heart surgery very soon and as we get closer it'd be great to be able to ask questions from others to make sure we don't make any silly mistakes.

She was born with ALCAPA - Anomalous left coronary artery from the pulmonary artery, which is quite rare. She had one failed operation in 1987 at age 13, resulting in two heart attacks shortly afterwards, followed immediately with a second surgery at a different hospital which was a success (LIMA/LAD bypass and re-establishment of a two coronary system).

She's in her late 30's now and for the past 10 years or so has been getting progressively more tired and down. Constant arrhythmia (ventricular ectopics) began in 2000 suddenly one morning and are present all day every day. We found out recently that she has a cleft of the posterior leaflet of her mitral valve - also very rare!

She currently has an EF of about 55, mild MVP and severe mitral valve regurgitation of 80%. I was quite annoyed by this because although we knew she had a murmor, we never knew it was already at the "severe" level at the time of the last echo in 2008.

In fact, some doctors at Brighton have recently told her she could get pregnant, run a marathon, etc... Until last week when a different one said she should be resting and be doing nothing strenuous!

We've seen some consultants, had some tests and surgery should be on the near term horizon. Not been given a reason that it can't be repaired (vs replaced) as yet, so hopefully a repair is possible.

We're going to Newcastle in the next couple of weeks to meet the cardiologist who oversaw her previous operation.

Hopefully the step after that will be to see a surgeon or two!

Si
 
Hi Simon, Sorry your wife is going thru so much and you both are getting confusing answers. My first question is is your wife going to cardiologist that specialize in CHD (Congenital Heart defects) or adults with CHD? If not I really reccomend she does, they would have the most experiene in patients like her and everything that can go along with her heart growing up with surgeries etc. I also would get opinions from surgeons that specialise in CHD surgeries, they would have the most experience in complex cases and multiple REDOs and the things that can go aong with that.

I dont think there are many people here that have the same probem but this is a great place to get support and help for getting ready for surgery and recovery etc. If you haven't found them you might want to check out the forums at the Adults with CHD org, http://www.achaheart.org/community/discussion-forum.aspx
most members there have also had heart surgeries growing up and might also find other with ALCAPA also. Since you live in the UK there is a great ACHD org there http://www.guch.org.uk/ that might even be a good place to find Cardiologist and surgeons who do specialise in CHD and the members probably know the best in your area.
 
Welcome, Simon. I'm glad you found us but wish it were under better circumstances. I hope Lyn's answer leads you to more information before your wife's appt. in Newcastle.
Best wishes.
Mary
 
Hi Simon. I just want to say that I had a mitral valve repair, and from reading the surgeon's report (which I requested afterwards), he patched up a posterior leaflet cleft (I didn't know it was that rare) among other things. I hope your wife will also be able to have a repair.
 
Hi Simon,

I must echo what Lyn said. People born with CHD must be dealt with by ACHD specialists.

The GUCH website has a list of recognised centres in the UK at www.guch.org.uk/info.

All the best,

Leanne
 
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