At leading heart super specialty hospitals in India, Cardiac surgeons now use most advanced minimally invasive heart valve replacement or repair surgery techniques for eligible patients.

The heart has four valves that control the flow of blood through the heart:

By enhancing surgical capabilities, robotic surgery helps to improve clinical outcomes and redefine standards of care.

Cardiac Valve Replacement Surgery


Minimally Invasive Valve Surgery in India

Minimally Invasive Valve Surgery

Minimal incision valve surgery does not require a large incision or cutting through the entire breastbone. The surgeon gains access to the heart through one to three smaller, less visible incisions (sometimes called “ports”) that can be made between the ribs or a smaller breastbone incision, as well as one small incision in the groin.

The diseased valve can be repaired or replaced through one or more of the ports between the ribs, with the surgeon looking at the heart directly through a small tube-shaped camera.


What is Heart Valve Repair or Replacement Surgery?

Heart Valve Repair Surgery

Heart valve specialists and surgeons agree that whenever possible a heart valve should be repaired rather than replaced. Heart valve repair leaves you with a normally functioning tissue, which resists infection more effectively, and you don't need to take blood-thinning medications after the surgery.

If you have mild to moderate heart valve disease, your surgeon often performs heart valve repair. If your heart valve isn't closing properly (regurgitation), your surgeon may treat your condition using one of three surgeries.

• Annuloplasty - In this procedure, your surgeon tightens the ring of tissue around the valve to help the valve flaps (leaflets) come together. Sometimes your surgeon will implant a ring where the leaflets meet to make the valve opening smaller so the leaflets can come together.

• Repair of Structural Support - In this procedure, your surgeon replaces or shortens the cords that support the valves (chordae tendinae and papillary muscles) to repair the structural support. When the cords and muscles are the right length, the valve leaflet edges meet and eliminate the leak.

• Valve Leaflet Repair - In valve leaflet repair, your surgeon surgically separates, cuts or pleats a valve flap (leaflet) to repair a floppy or prolapsed valve leaflet. Post a QueryPost a Query


TAVI (Transcatheter Aortic Valve Implantation)

Aortic stenosis, the narrowing of the aortic valve, which affects the supply of blood from the heart to the rest of the body, is one of the most frequently acquired heart valve diseases.

TAVI

With the steady increase in the population of the elderly as well as their improved life expectancy, the proportion of those developing severe aortic stenosis due to degeneration and calcification of the aortic valve has been on the rise.

Till 2002, replacement of the aortic valve through an open heart surgery, putting the patient on “heart-lung machine”, was the standard mode of treatment.

For a significant number of high-risk, in-operable elderly, a new minimally invasive procedure, transcatheter aortic valve implantation (TAVI), has emerged as a safe and viable option.

TAVI does not require the patient to be on the heart-lung machine. The new bioprosthetic valve is implanted using a catheter, inside the calcified valve itself, through the femoral vein (transfemoral) or the transapical approach...Read More


Heart Valve Replacement Surgery

If your heart valve can't be repaired, your surgeon will remove your damaged valve and replace it with an artificial (prosthetic) valve You may need heart valve replacement if you have valve narrowing (stenosis) or severely damaged valves affected by calcium buildup in the valves (calcification) or rheumatic disease. Surgeons perform procedures often to replace mitral or aortic valves, but your surgeon can replace any heartvalve.

Heart Valve Replacements Include:

Heart Valve Replacements

• Mechanical Valve - It is made totally of mechanical parts that are tolerated well by the body. The bi-leaflet valve is used most often. It consists of two carbon leaflets in a ring covered with polyester knit fabric.

Heart Valve Replacements

• Biological Valve - Tissue valves (also called biologic or bioprosthetic valves) are made of human or animal tissue. Animal tissue heart valves may come from pig tissue (porcine) or cow tissue (bovine). Tissue valves may have some artificial parts to help give the valve support and to aid placement.

• Homograft Valve (also called Allograft) - It is an aortic or pulmonary human valve that has been removed from a donated human heart, preserved, and frozen under sterile conditions. A homograft may be used to replace a diseased aortic or pulmonary valve.

What are the Advantages of Heart Valve Repair Surgery

  • A lower mortality at the time of operation (1-2% for repair versus 6-8% for replacement).
  • A significantly lower risk of stroke, and a lower rate of infection.
  • Improved long-term survival with mitral valve repair.
  • After valve repair surgery blood thinners are not required, in contrast to the life-long requirement for blood thinners after heart valve replacement surgery.Refer a PatientRefer a Patient

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