Mitral regurgitation surgery complications

Intern Survival Guide

Mitral regurgitation surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Mohammed A. Sbeih, M.D. [2]

Complications

Risks for any surgery

• Blood clots in the legs that may travel to the lungs.
• Blood loss.
• Breathing problems.
• Infection, including in the lungs, kidneys, bladder, chest, or heart valves.
• Reactions to medicines.

Possible risks from having open-heart surgery

• Heart attack or stroke.
• Heart rhythm problems.
• Infection in the cut, which is more likely to happen in people who are obese, have diabetes, or have already had this surgery.
• Memory loss and loss of mental clarity, or "fuzzy thinking."
• Post-pericardiotomy syndrome, which is a low-grade fever and chest pain. This could last for up to 6 months.

Prosthetic heart valves are associated with a variety of complications

• Structural deterioration, particularly with bioprosthetic valves.
• Valve obstruction due to thrombosis or pannus formation.
• Systemic embolization.
• Bleeding.
• Endocarditis and other infections.
• Left ventricular systolic dysfunction, which may be preexisting.
• Hemolytic anemia.