Mitral Valve Stenosis: Repair or Replacement?


If you have mitral valve stenosis and you need surgery to treat it, you have a choice to repair the valve or to replace it. Many things play a role in this decision. These things include if you have symptoms or other health problems (or both), how severe the stenosis is, the shape of the mitral valve, and the risks of surgery.

In general, mitral valve repair is preferred if your valve is suitable for it.

Mitral valve repair keeps your natural valve. And it may have fewer risks than mitral valve replacement surgery.

But not all valve problems can be repaired. And the repair may not last. Then you may need valve replacement surgery.

Valve replacement surgery might be done if the valve is damaged beyond repair. Replacement might also be an option if you are already going to have another type of heart surgery.


Current as of: August 31, 2020

Author: Healthwise Staff
Medical Review:
Rakesh K. Pai MD, FACC - Cardiology, Electrophysiology
Martin J. Gabica MD - Family Medicine
Adam Husney MD - Family Medicine
John A. McPherson MD, FACC, FSCAI - Cardiology