What is the risk of heart valve replacement surgery?

Patient age: 56 Patient gender: female All symptoms: arrhythmia. Heart failure and atrial fibrillation. Mitral valve stenosis. Time and cause of mitral regurgitation: forty years. Treatment of long-term high fever: I treated it twenty years ago. But I used the wrong medicine. I had an argument with someone two weeks ago and had a heart attack. I need help: What is the risk of heart valve replacement surgery? How much does it cost to import a valve? Physician 1: Hello, in the heart hospital, the success rate is very high because of mature technology and rich experience. The operation plan and cost need to be determined according to the specific situation. You can consult the hotline and explain the condition in detail. Experts will help you. Physician 2: Condition analysis: According to the patient's condition analysis, tricuspid valve stenosis appears, and the general treatment method is mainly surgical valve replacement. Suggestion: Generally, the risk is not big, so don't worry too much, and the effect is good. At the same time, a good valve may cost thousands of dollars. Physician 3: Analysis of the disease: Membrane plays a very common and key role in the endless blood circulation of the heart: the valve is the gatekeeper, preventing blood from flowing back to the ventricle that has just left. There are valves between atrium and ventricle, and between ventricle and blood vessels leaving ventricle. After the blood flows, the valve will close and send out the heartbeat we heard on TV. The doctor listens to the work of the heart valve with a stethoscope-the crisp heartbeat indicates whether the valve is closed well; The fuzzy sound indicates the size of the valve opening, or whether the valve is leaking. ) The most common valve problem is mitral valve prolapse. By the way, the word "monk's hat" comes from "miter", which is a hat worn by bishops. There are two points. Suggestion: The main points of diagnosis (1) Mitral stenosis: 1, left atrial compensatory phase: asymptomatic. 2, left atrial decompensation period: due to pulmonary congestion can cause fatigue and shortness of breath with cough and hemoptysis. 3. Right heart involvement period: systemic blood stasis, large and tender liver, jugular vein bulging, edema, ascites and oliguria. 4, mitral valve surface (cheekbone red lips), apical area can touch diastolic tremor, diastolic movement is more clear, the first heart sound is hyperactive, and the mitral valve can be heard; The second heart sound in the pulmonary valve area is hyperactive and divided, and sometimes Graham-Steele murmur can be heard in this area. 5. Auxiliary examination: (1)X-ray examination: left atrium is enlarged (barium is swallowed in the right anterior oblique position), showing esophageal impression, pulmonary artery segment protrusion, pear-shaped heart shadow, and hilar shadow is enlarged and thickened. (2) ECG examination: "Mitral valve punishes P wave", that is, P wave broadens notch; Right ventricular hypertrophy with strain, common pavl >；; 1。 0mV，RavR .0。 5 mV. (2) Mitral insufficiency: 1, asymptomatic in compensatory period, palpitation, shortness of breath, fatigue, etc. When the left heart fails. 2. The cardiac boundary expands to the left; Loud and rough systolic air-blowing murmurs can be heard in the apical area, which often spread to the armpit or back; Can smell the third heart sound; Hyperactivity of second heart sound in pulmonary valve area. 3. Auxiliary examination: (1)X-ray examination: enlargement of left atrium and left ventricle, pulmonary artery segment protrusion. (2) Electrocardiogram: left atrium enlargement, left ventricle hypertrophy and strain. (3) Echocardiography: M-mode images can be detected when the left atrium and left ventricle are enlarged.