doctors operation generic 311.
(photo credit: Courtesy)
For the first time in Israel, a new mitral valve in the heart was implanted into
a leaky one using a catheter rather than opening up the chest, by cardiologists
at Petah Tikva’s Rabin Medical Center-Beilinson Campus.
The patient was a
51-year-old woman who was not well enough to undergo open-heart surgery and had
previously had four such operations on the defective valve.
valve, also known as the bicuspid valve or left atrioventricular valve, connects
and controls the blood flow between the left atrium and the left ventricle of
the heart. A normal mitral valve opens due to increased pressure from the left
atrium as it fills with blood, and closes at the end of contraction to prevent
blood from flowing backwards. If there is leakage, the body does not get enough
The team, headed by Prof. Ran Kornowski, Prof. Alexander Sagi and
Dr. Eyal Porat, worked together this week to perform the complicated procedure,
which was held in the hospital’s new hybrid catheterization room (able to handle
heart surgery as well). The catheterization – the only way to save the patient’s
life – took a hour and was done with her placed under general
The doctors used Echo imaging of the heart via the esophagus
to find the exact place it should be inserted and to view the new valve was
“We are very satisfied that we succeeded in
implanting the valve quickly and elegantly with minuscule trauma to the
patient,” Kornowski said. “Until now, fewer than 20 such procedures have been
carried out around the world, and now we have brought it to our
We thus have expanded the great amount of experience we have in
implanting different types of heart valves using a catheter for various and
The balloon-expandable transcatheter mitral valve
was made by the Edwards Lifesciences company, which is based in the US but whose
development center is in Caesarea.
The valve is 2.6 centimeters long and
through a vein is pushed into the heart with a catheter only 6 millimeters in
Sagi, who heads the echocardiogram institute and valve clinic
at Beilinson, said: “This is a real revolution.
A repeat heart operation
in patients who have already had previous ones involves a long recovery period –
often months,” and in some cases like this, surgery cannot be done.
this case, two days after the procedure, the patient was already up and around
in the department and showed incredible clinical improvement.”