Miami Cardiac & Vascular Institute provides heart valve disease screening, diagnosis, prevention and treatment services. Our physicians work with you to help you manage and treat the disease before it has serious consequences. Our goal is to improve your health and quality of life.
Institute physicians strive to deliver the right treatment plan for you. Treatments offered include:
Aortic Valve Surgery.Institute physicians can surgically repair your heart’s aortic valve if it’s not functioning properly. The condition of your aortic valve, your overall health and other factors determine whether or not you are a candidate for traditional aortic valve surgery. Patients with an enlarged aorta or with holes or tears in their aortic valve are potential candidates for valve repair surgery. In addition, most aortic valves consist of three flaps that open and close. However, surgery is sometimes indicated for some people born with only two flaps, called a bicuspid valve.
Mitral Valve Surgery. Institute physicians can perform surgery on the mitral valve of your heart. When your mitral valve does not function properly, it can let too little blood through the valve (a condition called mitral stenosis). Surgery can also repair a mitral valve that does not close completely. Incomplete closure can allow some blood to flow in the opposite direction inside your heart (a condition called mitral regurgitation).
If you have mitral valve disease, an Institute physician might recommend mitral valve replacement surgery. This procedure replaces your damaged valve with a biologic valve (made from cow or pig tissue) or a mechanical valve (generally titanium).
Aortic Valve Replacement. If you’re not a candidate for traditional aortic valve surgery, Institute physicians might recommend transcatheter aortic valve replacement (TAVR). Interventional cardiologists and surgeons perform this minimally invasive heart valve replacement procedure as a team. For the right candidate, TAVR replaces a diseased aortic valve with a new, biocompatible valve. Following a small incision in the groin or chest, the physicians use a guide wire to move the new valve (collapsed and placed inside a catheter and wire mesh) through a vessel into your heart. The doctors then expand a small balloon to open the diseased valve wider. They position the new valve inside and check its function using echocardiography.
Mitral Valve Repair with MitraClip. If you’re not a candidate for traditional mitral valve surgery – based on the condition of your mitral valve and your heart’s anatomy, among other factors – percutaneous mitral valve repair with the MitraClip device (Abbott Vascular, Inc.) might be an option. An interventional cardiologist makes a small incision in the skin of your groin area and inserts a flexible tube called a catheter containing the MitraClip. The physician guides the catheter up the leg artery and into your heart. Using images to find the precise location, the physician attaches the MitraClip to help your mitral valve leaflets close more completely.