The First Valve in Valve TranscatheterAortic Valve Replacement (TAVR) done in Western India to treat patient for failed tissue valve

Now offering latest, cutting-edge heart valve replacement technology, Hinduja Hospital today announced implant of the recapturable, self-expanding Transcatheter heart valve systemin a 60 year old man hailing from Sholapur. The team of doctors was led by Dr. Kaushal Pandey, Cardiac Surgeon, Hinduja Hospital. He was assisted in the procedure by Dr. C. K. Ponde, Sr. Consultant, Cardiology, Hinduja Hospital; Dr. Uday Gandhe, Sr. Consultant – Anesthesiology, Hinduja Hospital. Dr Ravinder Singh Rao, Director, TAVI program EHCC Hospital, Jaipur marked his presence in conference.

The patient, Kishore Rathi,was presented to the team of doctors with three episodes of syncope. Syncope is a condition of temporary loss of consciousness due to a significant fall in blood pressure. During one such episode, he suffered severe head injury whichresulted in bleeding from the scalp. He was rushed to the hospital by his family. Few initial tests revealed that he was suffering from aortic bio-prosthesis degeneration with severe stenosis. This is a condition in which calcium gets deposited on the aortic valve in the heart. These deposits can cause narrowing at the opening of the aortic valve. This narrowing can become severe enough to reduce blood flow through the aortic valve, a condition called aortic valvestenosis. It leads to progressive deterioration of the heart function. This would require immediate treatment to prevent further deterioration.

Dr. Kaushal said, “The earlier surgery of Mr Rathi was performed by using a tissue valve in the procedure. Tissue valvehas a limited life span and the tissue degenerated over seven years and had to be replaced again. The valve needed to be replaced without putting his health in danger and keeping his age in mind hence a second surgery was ruled out. The onlyoption available was to place a mechanical valve inside the failing tissue valve (valve in valve). The family and the patientwere extended the option of Transcatheter Aortic Valve Replacement (TAVR). The procedure and its benefits wereexplained to them and the procedure was planned accordingly.”

After the TAVR procedure,the patient’s condition progressively improved over the next 24 hours and he was discharged from the hospital the very next day.

TAVR procedure replaces a diseased aortic heart valve through a minimally invasive procedure, without open-heart surgery and without surgical removal of the diseased valve. The device is typically inserted via an artery in the leg and then guided through the arteries into the heart. Once in place, the device expands and takes over the original valve’s function to enable oxygen-rich blood to flow efficiently out of the heart.

Dr. Kaushal, Cardiac Surgeon, Hinduja Hospital said, “TAVR will change the way we treat Aortic Valve Stenosis. In a few years this newer and relatively latest procedure will replace open heart surgery for treating diseased valvesin patientswho are at high or extreme risk for surgery.Patients who undergo a minimally invasive TAVR procedure may experience less down time, faster recovery and, often, a shorter hospital stay (3-5 days on average) than patients undergoing open heart surgery. In this case,Mr.Rathi has already resumed all his normal day-to-day activities.”

Mr. Kishor Rathi said, “My family and I are very thankful to all doctors for educating us about TAVR procedure. I feel like a new person and healthier.”

“Any and all the Information provided in the press release is independent views expressed by Dr. Kaushal Pandey, Sr. Consultant, Cardiac Surgery, Hinduja Hospital for general overview and educational purposes only.”

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