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Health
See other Health Articles

Title: Safer heart surgery breakthrough
Source: [None]
URL Source: http://www.sciencealert.com.au/news/20121906-23490.html
Published: Jun 20, 2012
Author: Monash University
Post Date: 2012-06-20 03:47:52 by Tatarewicz
Keywords: None
Views: 44
Comments: 1

The new treatment will help patients who are too frail to undergo open-heart surgery.

The first trial of a treatment allowing doctors to insert a fully repositionable replacement heart valve without the need for open-heart surgery has been successfully conducted at a Melbourne hospital.

Doctors at the Monash Medical Centre heart unit, known as MonashHeart, saved the lives of 11 elderly women who were suffering from aortic stenosis, the degrading and narrowing of the main heart valve.

A team of cardiologists and surgeons, led by MonashHeart director Professor Ian Meredith, inserted a replacement heart valve, on the end of a wire, through a small hole in the groin of the women, who were too frail to undergo the invasive open-heart surgery often given to younger patients with the condition.

Dubbed a ‘lotus valve’, the valve opens up like a flower once inside the heart, and can be easily repositioned. The trial, which reported a 100 per cent success rate, promises to help save the lives of senior patients around the world.

Professor Meredith, from the Department of Medicine at Monash University, said the prognosis for elderly aortic stenosis patients was usually about the same as people with advanced forms of cancer.

"When you have severe aortic valve narrowing and you become breathless as a consequence of that, more than half the people won't survive 12 months," Professor Meredith said.

"Only about a third will survive up to two years."

Professor Meredith said he would now lead a wider, international trial of the lotus heart valve device.

"This will have a significant impact on patients all around the world because this is a very common problem in the elderly," Professor Meredith said.

Sixteen facilities in four countries will take part in the new trial.

The Monash Medical Centre is part the Department of Medicine at Monash University. Established in 2007, MonashHeart is an amalgamation of the former Departments of Cardiology of Monash Medical Centre, Clayton and Dandenong Hospital.

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#1. To: Tatarewicz (#0)

I, for one, am VERY VERY SORRY this breakthrough was not available 7 years ago when I had my heart surgery to replace a bad valve. Open heart surgery (including bypass) requires sawing the sternum lengthwise and afterward tying it back together with silver wire -- the post-op pain is beyond description and lasts for weeks!!! There is also some mental damage (attention deficit and short term memory) resulting, which is supposed to get better with the passage of time but somehow seems never to go away completely. I was warned about NEITHER of these drawbacks and, frankly, would have preferred not to have had the surgery than have to endure those after-effects (even though the doctor predicted I would die within two or three years without the surgery).

By the way, this breakthrough will work to replace heart valves on those patients who, like me, already had valves replaced with bovine or pig valves -- but not with those ceramic, plastic or metal valves (because this breakthrough requires breaking up and sucking out the old valve).

Shoonra  posted on  2012-06-20   18:19:35 ET  Reply   Trace   Private Reply  


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