Types of Mechanical Heart Valves | Dr. Ciuffo

In 1961 the first heart replacement valve was successfully implanted. The original ball-and-cage form is no longer being implanted today, but there are many living patients who had the design implanted. Since the first original mechanical heart valve, over 80 models have been developed to match various patient needs. Of those models, there are three basic types in use today.

Bileaflet- A Mechanical Heart Valve

Mechanical heart valve


Bileaflet valves are made up of a rigid ring with two hinged semi-circle discs made of bio-neutral, extremely durable materials. The main advantage to this and other types of mechanical heart valves is that it lasts the patient’s lifetime. The valve normally does not wear out or malfunction, reducing the likelihood that the patient will need another operation later to replace a worn-out valve. The con of mechanical valves is that blood tends to clot around the openings, requiring the use of blood thinners for the lifetime of the patient. Luckily the mechanical heart valves have excellent blood flow and few complications.


Like the bileaflet valve, the monoleaflet valve is designed from durable, bio-neutral materials. The monoleaflet valve is composed of a single disc that rotates on a central metal strut. The disc rotates far enough to create openings for the blood to flow through, regulating the pressure and flow. Like the bileaflet valve, monoleaflet implants require the use of blood thinners for the life of the patient, to prevent clots from forming.

Bioprosthetic Valve

The third option is technically not a mechanical heart valve, but rather is adapted from a human or animal donor. The tissue is carefully prepared and treated with chemicals which render it bio-neutral, meaning that the recipient’s body will accept the valve without rejection. Bioprosthetic valves provide a more natural option that don’t require blood thinners, but may not last as long as a mechanical version. When you come in for your consultation, we will discuss your medical history and needs, and decide upon a treatment plan that’s right for you.

A picture of Giovanni B. Ciuffo, MD wearing his Mercy One doctor attire.

About the Author

Giovanni B. Ciuffo, MD Director is an expert in Minimally Invasive Heart Surgery and Bloodless Heart Surgery is the outcome of his commitment to the development and improvement of both of these techniques. He runs a Cardiothoracic Surgery practice and manages Minimally Invasive and Bloodless Heart Surgery Program where he cares for patients from all over the country and locally. Click here to learn more about Dr. Ciuffo.

Board Certified:
American Board of Surgery
American Board of Thoracic Surgery