Minimally invasive heart valve procedure an Alberta first
November 27, 2012
Leaky valves repaired without cutting through breastbone, speeding recovery
CALGARY – In an Alberta first, local cardiac specialists are now repairing leaky heart valves using a minimally invasive procedure that reduces hospital stays, speeds recovery and leaves smaller scars.
Ten patients have already undergone minimal-incision aortic and mitral valve repair since the procedure was first performed on May 30 at the Libin Cardiovascular Institute of Alberta — an entity of both Alberta Health Services (AHS) and the University of Calgary.
The procedure is used to treat mitral and aortic regurgitation, conditions in which blood leaks backwards through the heart valve, which can lead to irregular heart beats (arrhythmias) or heart failure if left untreated.
“The main benefit to patients is quality of life – it allows them to return to their normal lives and resume their normal level of physical activity sooner,” says Dr. Andrew Maitland, the cardiac surgeon who led the Foothills Medical Centre team performing the procedures. Maitland is also an Associate Professor in the Departments of Cardiac Sciences/Surgery in the Faculty of Medicine at the University of Calgary.
Traditional valve repair involves making a 10-centimetre incision down the centre of the chest and cutting through the breastbone. Instead, the new procedure involves making a four- to
five-centimetre incision to the side of the chest, without cutting any bone. Instruments are then inserted and the valve is repaired via telescope.
The entire operation takes several hours, with patients spending three or four days recovering in hospital – about half the time they would spend after traditional valve repair surgery. Patients can expect to make a full recovery within six weeks.
“This new procedure will likely lead to better outcomes for patients,” says Dr. Maitland. “Another plus of this procedure is that it leaves less visible scars, rather than having a big scar going down the front of the chest.”
Three-time Canadian Olympian Romel Raffin underwent the procedure this past July. He says his top priority was getting back to his normal routine of working out every day and playing hockey twice a week.
“The day after the procedure, I was up walking around. Six weeks after the operation, I was back at the gym and going for walks every day,” says the 58-year-old, who was on the Canadian men’s basketball team at the 1976, 1984 and 1988 Summer Olympics.
Dr. Imtiaz Ali, Section Chief of Cardiac Surgery for AHS, says that refining skills and introducing leading-edge procedures has become a hallmark of the work happening at the Libin Cardiovascular Institute of Alberta.
“Our cardiac surgeons have continued to lead the province – and the country – when it comes to pioneering new and innovative procedures,” Dr. Ali says. “Ultimately this will not only improve patient outcomes but recovery time and overall quality of life after their operation.”
Alberta Health Services is the provincial health authority responsible for planning and delivering health supports and services for more than 3.8 million adults and children living in Alberta. Its mission is to provide a patient-focused, quality health system that is accessible and sustainable for all Albertans.
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