- The interventional cardiologists treat most of them by plasty operations and not by aorta and mitral valve replacement (aortic valve replacement, mitral valve plastic surgery).
The heart has 4 valve (aortic, mitral, pulmonary and tricuspid), which function like a vent: they open in order to allow the blood flow in one direction and then they close in order to stop the blood flow reflux. There are two types of valvular disorder, according to their production mechanism:
– Valvular stenosis – which consists of the reduction of the valve opening and the narrowness of the orifice the blood passes through (for instance, aortic stenosis);
– Valvular insufficiency – results from the incomplete sealing of the valve, so that the backward flow of blood or regurgitation occurs (for instance, aortic insufficiency).

Treatament
The surgical treatment is the only one that can restore the normal hemodynamic conditions of the heart and can avoid the development of the heart failure.
The surgical correction may be performed through two methods:
- Interventions regarding the reconstruction of the native valve – the plastic surgery of aortic, mitral, pulmonary and tricuspid valve.
- Interventions concerning the valvular replacement by open heart surgery or by percutaneous minimally invasive surgery.
