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Hyderabad, January, 2017: Aster Prime Hospitals – part of the global healthcare conglomerate, Aster DM Health Care – performed a complex, non-surgical procedure, called TAVR(Transcatheter Aortic Valve Replacement) procedure, on a sixty six year old patient who previously underwent Mitral Valve Replacement (MVR) procedure. Aster Prime Hospital is the first Hospital in South India to perform this procedure of Post MVR TAVI.
Thispioneering procedure of Post MVR-TAVR involved extreme risk and needed high dexterity on the part of the Cardiologist performing it. The procedure was successfully performed by renowned Sr. Interventional Cardiologist and Director, Aster Prime Hospitals Dr. C. Raghu and was ably supported by an equally proficient team of Dr. Vengal Reddy Cardiac Surgeon; Dr. Movva Srinivas Cardiologist, Dr Hamid Pasha Anaesthetist, Mr Anjaneyulu Technologist and skilled nursing staff headed by Ms Rajeswari.
The patient, 66-year old MNMR suffering from multiple ailments of diabetes, hypertension (high blood pressure) and severe aortic (valve) stenosis with moderate renal (kidney) failure, dyspnoea (shortness of breath) and unstable angina, had undergone Mitral Valve Replacement 20 years ago. With time, he developed severe obstruction of the aortic valve.He first came to Aster Prime Hospitals in September 2016, with severe breathless even at rest and had other co-morbid conditions like diabetes, hypertension (high blood pressure) and severe aortic (valve) stenosis. He was admitted twice at the hospital for management of his failing heart. His valve had narrowed critically and a valve replacement was considered mandatory for his survival.
Considering his advanced age, previous open heart surgery and multiple health complexities, the conventional option of replacing the valve through Open heart surgery involved extreme risk and was ruled out. Dr. Raghu, falling back on his enormous experience, conceived the new non-surgical procedure of Post MVR TAVR, to treat this critical case. TAVRtoo can be complicated in patients with previous Mitral Valve Replacement due to possible interference between the mechanical mitral and bio-prosthetic aortic valve made of animal tissue. Sincethe new valve was inserted through blood vessels by making a small incision in the patient’s groin, there was no need for a conventional open-heart surgery.Mallikarjun Raois doing well now and has since been discharged.
An elated Dr C Raghu, Interventional Cardiologist & Director, talking about the procedure said, “It’s a game changer, We performed the first TAVR with previous MVR, in this part of the country, to relieve the 66-year-old gentleman from severe life-threatening problems caused by a diseased aortic valve. The outcome is extremely promising.”
About Aortic Stenosis
Blood flows out of the heart into a large blood vessel called the aorta. Aortic valve separates the heart from the aorta and when the heart contracts, the aortic valve opens to allow the blood to flow out and it closes when the heart relaxes to prevent blood from returning to the heart. The aortic valve surgery becomes necessary when the aortic valve does not open well, due to which blood-flow out of the heart is reduced significantly (called Aortic Stenosis) or if the aortic valve does not close properly, so blood leaks back into the heart (called Aortic Regurgitation).
Aortic valve diseases affect about 2% of all people above the age of 65.When the aortic valve is severely damaged, it is often replaced with a bio-prosthetic valve made of animal tissue which will work over a time period of 10 to 15 years.
“The advantage with TAVR is, you need not stop the heart through heart-lung bypass, or cut open the chest surgically. The morbidity linked with this procedure is reduced drastically as TAVR is minimally invasive. Furthermore, it takes only 30-45 minutes for implantation of the new valve. This is the first instance of Post MVR TAVR procedure performed in entire South India. While with open heart surgery the risk factor is about 17%, with TAVI the risk factors is almost reduced to 4.5%” Dr. Raghu added.
“Till date, there were approximately 100 TAVR procedures performed in the country out of which, only two post MVR TAVI were attempted. Aster Prime Hospitals was the first to have successfully performed this procedure to save this patient” he further adds.
About Aster Prime Hospital
After three decades and evolving from a clinic to a Super Speciality Hospitals at Ameerpet and Kukatpally, Prime Hospitals is now Aster prime Hospital, a part of Aster DM Health Care a global healthcare conglomerate that has been providing quality service to millions of people across the world, for over 28 years. Aster DM Health Care has evolved into a leading healthcare network with over 280 medical establishments across 9 countries, including 13 hospitals, 87 clinics and 180 pharmacies. The organization has 1000 doctors and 13,000 employees working tirelessly.
Aster Prime Hospitals, a state-of-the-art Super Specialty Hospitals in Hyderabad, offer comprehensive primary care to quaternary care services with Centres of Excellence in Cardiac Sciences, Neuro Sciences, Orthopaedics and Minimally Invasive Surgeries backed by high-end Critical Care, Emergency Medicine and a State-of-the-art Women and Child Care.
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