- Heart Conditions
- Heart Treatments
- Obstructive hypertrophic cardiomyopathy management
- Personalised External Aortic Root Support
- Electrophysiology testing for arrhythmias
- Cardiac ablation
- Cardiac Catheterisation (Coronary Angiogram)
- Coronary angioplasty (Coronary stenting)
- Coronary artery bypass grafting (CABG)
- Renal denervation for hypertension
- Advanced therapies to treat heart failure
- Permanent pacemakers and implantable defibrillators (ICDs)
- Valve repair or replacement
- Ventricular Assist Device (VAD)
- Heart Scans and Tests
- Imaging Services
- Lung Conditions
- Lung Treatments
- Diagnostic Services
Valve repair or replacement
What is valve repair or replacement?
At Royal Brompton & Harefield Hospitals Specialist Care, our specialist cardiologists and cardiac surgeons use innovative techniques to treat damaged or diseased heart valves in private patients.
There are four valves in the heart and each is responsible for pumping blood in the right direction around the body. When the valves fail to open properly, they can obstruct blood flow. This is known as valve narrowing or stenosis. When they fail to close properly, blood can leak backwards. This is called leaky valve or regurgitation.
Depending on the extent of damage to the valve and the affect it is having on the heart, the valve can be repaired or replaced:
A repair is usually used on mitral valves that leak, but are not severely damaged.
A replacement involves removing the diseased valve and replacing it with a mechanical valve or animal tissue valve.
Treatments for valve repair or replacement
Royal Brompton & Harefield Hospitals Specialist Care offers the following heart valve repair and replacement procedures to private patients.
Mitral valve surgery
Mitral valve surgery is performed to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve. We offer minimally invasive mitral valve surgery to eligible patients. This can help to reduce pain, scarring and recovery time.
Minimally invasive mitral valve surgery
- This involves using specially-designed telescopic instruments to perform the operation via a small incision on the right side of the chest.
- It may be necessary to make another small incision in the groin to allow the placement of a tube (cannula) to control the blood flow to the heart during the operation.
- The typical hospital stay following mitral valve surgery is 7 to 10 days.
- To treat mitral regurgitation, the mitral valve can be repaired with a MitraClip.
- It is a transcatheter procedure, whereby the heart is accessed by inserting a catheter (a thin, flexible tube) into a vein leading from the leg to the heart.
- The benefits of this procedure include an improvement of symptoms such as heart failure and shortness of breath, caused by mitral regurgitation or stenosis.
- The hospital stay following the MitraClip tends to be around 3 days. The recovery time is quicker than mitral valve surgery.
Aortic valve surgery
Transcatheter aortic valve implantation (TAVI)
- This procedure involves inserting an artificial heart valve inside the narrowed aortic valve using a catheter.
- The valve consists of a metal frame (stent) and the outer lining of a cow’s heart. The stent, with the valve inside, is inserted into your body through a catheter which leads to the heart via an vein either in your leg, arm or chest.
- The cardiologist will then expand the new valve open inside your aortic valve, using both x-ray and transesophageal imaging for guidance. Your old valve will therefore not be removed but will be used to anchor the new valve in place.
- After the procedure, you will be taken to the intensive care unit or the recovery unit for observation. Length of hospital stay is usually 1-2 weeks.
Risks of treatment
As with any operation or cardiac procedure, there is a degree of risk in treating valvular heart disease with a valve repair or replacement.
There is a small risk of stroke, kidney disease, bleeding and sternal wound infection. There is also a risk of developing atrial fibrillation – a type of heart rhythm in which the heart beats quickly and irregularly.
At Royal Brompton & Harefield Hospitals Specialist Care, we offer surgery for heart valve repair or replacement to private patients. Our consultants assess patients for surgery, and offer valvular procedures at the following locations:
- Mr George Asimakopoulos
- Mr Toufan Bahrami
- Dr Miles Dalby
- Mr Fabio De Robertis
- Mr Jullien Gaer
- Dr Richard Grocott-Mason
- Dr Tito Kabir
- Mr Balakrishnan Mahesh
- Dr Vasileios Panoulas
- Mr Shahzad Raja
- Dr Gareth Rosser
- Mr André Simon
- Professor Ulrich Stock
- Dr Robert Smith
Royal Brompton Hospital
- Dr Simon Davies
- Mr Anthony De Souza
- Mr J. Andreas Hoschtitzky
- Professor Thomas F. Lüscher
- Professor Susanna Price
- Mr Cesare Quarto
- Mr Ulrich Rosendahl
- Dr Robert Smith
- Dr François Tarragano
- Mr Richard Trimlett
- Dr Ali Vazir
- Ms Rashmi Yadav
Fixed price packages for self-funders
If you prefer to pay for your own in-patient treatment we offer fixed price packages to help manage the cost of surgery and care while in hospital. As the treatment needs vary from patient to patient, you will need to provide an up-to-date medical report or referral to be reviewed by the agreed consultant.
A complimentary consultation to review this report and any test results you have can be arranged. This will determine whether you are eligible for our fixed package price.
To make an enquiry please contact the customer service team:
Booking an appointment
Request a Second Opinion
- Sutureless Aortic Valve Replacement A new aortic valve replacement, that doesn’t require sewing into place, is reducing surgery times and proving to be an...
- Aortic valve replacement patients benefit from the new Inspiris Resilia valve Harefield Hospital, one of the first centres in the world to implant the Edwards Lifesciences® Inspiris Resilia tissue valve; estimated...
I’d like to say a big thank you for all the care and kindness during our stay over 3 weeks at Harefield. We have experienced many top hospitals in the...