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London Cardiovascular Project

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Mitral valve procedure

Intro

The mitral valve controls the flow of blood into the heart. When this valve becomes diseased, one treatment option is surgery.

There are two ways in which surgery can be undertaken on the mitral valve, either repair or replacement with a prosthetic valve.

There is also an increasing trend internationally to sub-specialise mitral valve surgery. By sub-specialising mitral valve surgery, only teams of experienced, specialist surgeons would undertake the procedure, improving outcomes for patients.

Implementation

The London Cardiac Networks are responsible for implementation with the South London Cardiac and Stroke Network leading the collaboration.

Project aims

Ensure that mitral valve surgery is undertaken by specialist surgical teams, which meet specified standards.

Implementation update

  • Site assessments have been completed in all mitral valve cardiac surgery sites with action plans developed to ensure full implementation by March 2012.
  • Discussions are taking place with clinicians to clarify the activity requirements for valve replacement.
  • The proposed data source for audit will be obtained from the SCTS CCAD database. The Network is working with surgical colleagues and the SCTS database committee to establish the definitions of data collection and methodology for analysis. This will provide clinically led and sustainable reporting.

The work aims to ensure that mitral valve surgery is undertaken by specialist surgical teams, which meet specified standards.

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Documents

Cardiac Surgery Service Specification - Contains baseline data, quality standards and implementation timeframes


Project documents

Model of care (summary)
Model of care (detailed)
Patient perspective
Responses to engagement
Case for change
Co-dependencies framework
Financial analysis

More on the
patient perspective