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Old 08-17-2003, 11:56 AM   #1
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LeeLee3 HB User
Question Mitro Valve Prolapse

I have a mitro valve prolapse. I'm not sure what it is exactly, only it's a heredity condition that has something to do with how my heart valve opens and closes. I also have PVCs occasionally. I'm having cosmetic surgery done in sept. (see cosmetic surgery board), and I'm supposed to alert them before any surgery that I have this. SInce I forgot to at my consultation, I'll have to call them this week. My question: has anyone w/this condition ever had surgery? What are tha complications exactly? I did a search on this board b4 posting and didn't get anything, so I guess it's not very common. Thanks!

 
Old 08-17-2003, 03:46 PM   #2
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projapoti HB User
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Whoa whoa whoa, you're having a surgery and the doctors aren't aware that you have a mitral valve prolapse?

The mitral valve is the valve that separates the left atrium and the left ventricle. Prolapse means that the papillary muscles which normally anchor the mitral valve in place and keep it from inappropriately bulging in to the left atrium (it shouldn't bulge into EITHER the atrium or the ventricle). The problem that this can leave one with is the fact that, when the ventricle is pumping blood to the body, some blood, instead of going towards the body, goes back in to the atrium because the mitral valve is very leaky. Over time, this can result in your body not getting the blood that it needs.....it can also end up putting more of a strain on your heart (over time) from the increased amount of work it has to do to get blood to the rest of your body...this CAN lead to congestive heart failure over time.
Quote:
has anyone w/this condition ever had surgery?
Yeah...sure...they just have to pay extra attention to heart function during the surgery.
Quote:
What are tha complications exactly?
Mostly ventricular arrythmias like ventricular tachycardia and ventricular fibrillation, and also cardiac arrest.

 
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Old 08-17-2003, 04:13 PM   #3
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LeeLee3 HB User
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Quote:
Originally posted by projapoti:
Whoa whoa whoa, you're having a surgery and the doctors aren't aware that you have a mitral valve prolapse?
No, but I'll be calling the office tomorrow. I haven't been thinking about the surgery much - I've had to put it off because of school and work, and because I've been back and forth about it. I didn't know about the prolapse until I got mono 2 years ago (age 20). The doctor found out by an ultrasound I had during the mono - the mono was causing heaviness in my chest. He didn't think the prolapse was related. I never knew it was that serious of a thing - thanks for the explanation.

My mom has this, too - she has told me that I need to alert the dentist of it before cleanings - something about the chemicals I guess. I have had minor surgery before w/no trouble, but I thought I'd at least alert the doctor of the prolapse and PVCs before this surgery. Last two times I've been to the doctor, he did not detect any PVCs. I have not had them since the mono, so I haven't been really thinking about either those or the prolapse.

 
Old 08-19-2003, 09:09 PM   #4
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msproperlady HB User
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Hi LeeLee!

I just registered today but felt I must reply to your post. As you can tell by my "name", I have MS -- also Fibromyalgia -- also Mitral Valve Prolapse. The MVP I've had for 36 years that I'm aware of.

Do you take any meds for it? Mine is very pronounced for which I take a beta blocker, Atenolol. This keeps my heart on a more even rhythm.

I've had surgeries but like dental appointments, always take an antibiotic before the procedure. Usually it would be a form of penicillin but I'm allergic to that. Take something else instead. The antibiotic is taken in case any bacteria from the procedure should enter the blood stream. As it travels through the heart, it could become lodged in the wrong place due to the leaky valve, which could be a big problem -- even fatal.

There's lots of information out there regarding this condition that you might want to check out. No, most people don't die from this, but there are a few precautions we should take. Definitely tell your doctors! Judy

 
Old 08-20-2003, 06:25 PM   #5
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LeeLee3 HB User
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Hi msproperlady,

I don't take any meds for my mvp. When my doctor found it, he told me that if I had palpitations and felt like I was going to pass out or did pass out, then he would put me on beta blockers. I've had maybe two occurences of palpitations in the past two years both during school. They went away quickly, so I wasn't worried.

I've never had antibiotics before dental cleanings - my mom, who has mvp too, told me it wasn't necessary if my doctor hadn't recommended I take them. I still make sure to tell the dentist that I have this, but they won't give me anything since my doctor hadn't called for it. So, I don't know. They don't seem worried about it, but it does sound serious. I've checked out a few websites on mvp that all have conflicting information. So, I think I'm going to go to the library and check a medical encyclopedia. I told my plastic surgeon's office about it, and they said to let the surgery center know when they call me the day before surgery, and also the anestesiologist. Thanks for your help, Judy.

 
Old 08-25-2003, 07:23 PM   #6
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NancyH HB User
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I've always informed my Dr(who did my carpal tunnel surgeries)about the mvp, for that matter any surgery. I tend to leave it up to the surgeon. I guess it's better safe than sorry so I tell them.

 
Old 08-31-2003, 12:49 AM   #7
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Iwannalife HB User
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There are degrees of MVP and most are what my doctor called a functioning murmur. That means that it's there but doesn't cause any problems. Mine gets louder/worse if my thyroid levels are off or if I'm dehydrated. Most people never have a real problem with it. I do not premedicate with antibiotics because with a "slight" murmur there is not usually a problem and I found out that I had the problem after years of having dental work and not getting a cardio infection. I have recently read that there is a connection with panic/anxiety responses and MVP, not dangerous, but uncomfortable. Good luck. IWL

 
Old 09-28-2003, 05:28 PM   #8
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smurfyday HB User
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Hi!
I was reading this message board because I also have MVP and CAD. The antibiotic is needed only if there is regurgitation (backflow of blood). Not all MVP patients have this and of course, some do but to a lesser extent. This is detected in an echocardiogram. You could have regurgitation that does not show which should then be left to the doctor as to whether you need the antibiotic or not (a no regurgitation result is not always accurate). Sometimes I have regurgitation and a couple of times I did not show it...I have found there are many dentists who refuse to do work on any patient with MVP without the antibiotic (to understandably cover themself). The antibiotic is a cover-up because people with MVP regurgitation can get an infection in their heart if they do not get an antibiotic when they are cut, or having surgery...etc...
Well, hope this helps...good luck to all

 
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