Most Advanced Heart Valve Repair or Replacement Surgery With Best Hospitals in India

Overview

Heart valve surgery is a procedure to treat heart valve disease. In heart valve disease, at least one of the four heart valves that keep blood flowing in the correct direction through your heart doesn’t function properly.

These valves include the mitral valve, tricuspid valve, pulmonary valve and aortic valve. Each544 valve has flaps called leaflets, for the mitral and tricuspid valves, and cusps, for the aortic and pulmonary valves. These flaps open and close once during each heartbeat. Sometimes the valves don’t open or close properly, disrupting the blood flow through your heart to your body.

In heart valve surgery, your surgeon repairs or replaces the affected heart valves. Many surgical procedures may be used to repair or replace heart valves, including open-heart surgery or minimally invasive heart surgery.

Your treatment depends on several factors, including your age, health, the condition of the heart valve that is affected and the severity of your condition.

Your treatment depends on several factors, including your age, health, the condition of the heart valve that is affected and the severity of your condition.

Signs and Symptoms of Heart Failure

In the early stages, Heart Failure may not have any symptoms. In the later stages, the patient may have severe symptoms because the weakened heart is unable to pump enough oxygen-rich blood with each contraction to satisfy the body.

Heart valve surgery risks may include:

  • Bleeding
  • Heart attack
  • Infection
  • Valve dysfunction in replacement valve
  • Irregular heart rhythm (arrhythmia)
  • Stroke
  • Death

Diagnosis for Heart Failure

There is no single test that can diagnose Heart Failure. The patient may have to go some of the following tests –

  1. EKG (Electrocardiogram) – This test is used to measure the heart’s electrical activity. It may show if the patient has had a heart attack or if there is thickening of the walls in the heart’s pumping chambers (ventricles) or if the heart rhythms are abnormal.
  2. Chest X-ray – A chest X-ray shows if the heart is enlarged or if there is fluid in the lungs, or any lung disease.
  3. BNP Blood Test – This test checks the level of a hormone called BNP (B-type natriuretic peptide) that rises in Heart Failure.
  4. Thyroid Function Tests – These tests reveal whether an overactive or an under-active thyroid is responsible for Heart Failure.
  5. Echocardiogram – Echocardiogram enables the doctor to evaluate the size, thickness and pumping action of the heart, as well as evaluate how well the heart valves are functioning. A stress echocardiogram may also be useful in assessing how well the heart is functioning at rest and during exercise.
  6. Coronary Angiography – This test, usually performed along with cardiac catheterization, helps the doctor see the flow of blood to the heart muscle.
  7. Magnetic Resonance Imaging (MRI) – MRI shows detailed images of the structures and beating of the heart, enabling the doctor to assess if parts of the heart are weak or damaged.

How you prepare

Before surgery to have your heart valve repaired or replaced, your doctor and treatment team will explain to you what to expect before, during and after the surgery and potential risks of the surgery.

Your doctor and team will discuss with you concerns you may have about your heart valve surgery. Discuss with your doctor and treatment team any questions you may have about the procedure.

You’ll need to have your hair shaved at the location of your body where the procedure will take place.

Before being admitted to the hospital for your surgery, talk to your family about your hospital stay and discuss help you may need when you return home. Your doctor and treatment team may give you specific instructions to follow during your recovery when you return home.

Heart valve replacement:-

If your heart valve can’t be repaired, your doctor may recommend heart valve replacement. To replace a heart valve, your doctor removes the heart valve and replaces it with a mechanical valve or a valve made from cow, pig or human heart tissue (biological tissue valve).

Biological valves often eventually need to be replaced, as they degenerate over time. If you have a mechanical valve, you’ll need to take blood-thinning medications for the rest of your life to prevent blood clots. Doctors will discuss with you the risks and benefits of each type of valve and discuss which valve may be appropriate for you.

A minimally invasive catheter procedure may be conducted to replace certain heart valves. For example, a catheter procedure may be performed to insert a replacement valve into a biological replacement valve in the heart that is no longer working properly.

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Most Advanced Heart Valve Repair or Replacement Surgery With Best Hospitals in India

Best Heart Valve Repair or Replacement Surgery Hospitals in India

What is heart valve repair or replacement surgery?

The heart is a pump made of muscle tissue. The heart has four pumping chambers: two upper chambers, called atria, heart12and two lower chambers, called ventricles. To keep the blood flowing forward during its journey through the heart, there are valves between each of the heart’s pumping chambers:

  • Tricuspid valve. Located between the right atrium and the right ventricle
  • Pulmonary valve. Located between the right ventricle and the pulmonary artery
  • Mitral valve. Located between the left atrium and the left ventricle
  • Aortic valve. Located between the left ventricle and the aorta.

Why might I need heart valve repair or replacement surgery?

Valve repair or replacement surgery is done to correct the problems caused by one or more diseased heart valves.

If your heart valve(s) becomes damaged or diseased, you may have the following symptoms:

  • Dizziness
  • Chest pain
  • Breathing difficulties
  • Palpitations
  • Edema (swelling) of the feet, ankles, or abdomen (belly)
  • Rapid weight gain due to fluid retention

There may be other reasons for your healthcare provider to recommend heart valve repair or replacement surgery.

What are the risks of heart valve repair or replacement surgery?

Possible risks associated with heart valve repair or replacement surgery include:

  • Bleeding during or after the surgery
  • Blood clots that can cause heart attack, stroke, or lung problems
  • Infection
  • Pneumonia
  • Breathing problems
  • Arrhythmias (abnormal heart rhythms)

There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your healthcare provider prior to the procedure.

During the Procedure

To help you learn about the procedure, your doctor may suggest a number of actions, including:

  • Talking with different members of the surgical team, such as the anesthesiologist, surgeon, cardiologist, respiratory therapist, and nursesheart123
  • Discussing with family members the details of the operation
  • Visiting the intensive care unit (ICU) where you may be sent for postoperative recovery

Treatment Options

Heart Valve Repair

Heart valve repair is a surgical or minimally invasive procedure that corrects a heart valve that is not functioning properly. Heart valve repair usually involves the heart valve leaflets that open and close to pump blood through the heart. In some cases, your doctor may find that repairing your heart valve is the best way to treat your heart valve disease.

Heart Valve Replacement

When repair is not an option, replacing your damaged heart valve may be the most effective treatment for your condition. Heart valve replacement is a surgical procedure that replaces a damaged heart.

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Best Heart Valve Repair or Replacement Surgery Hospitals in India

Most Advanced Pediatric Heart Surgery in India

Pediatric heart surgery.

Heart surgery in children is done to repair heart defects a child is born with (congenital heart defects) and heart diseases a child gets after birth that need surgery. The surgery is needed for the child’s well being.childicu_928442

There are several sorts of heart defects. Some are minor, and others area unit additional serious. Defects will occur within the center or within the large blood vessels outside the heart. Some heart defects might have surgery right when the baby is born. For others, your kid could also be ready to safely wait for months or years to have surgery.
One surgery could also be enough to repair the heart defect, but typically a series of procedures is required. 3 completely different techniques for fixing congenital defects of the heart in children are described below.

Open-heart surgery is when the surgeon uses a heart-lung bypass machine.

  • An incision is made through the breastbone (sternum) while the child is under general anesthesia (the child is asleep and pain free).
  • Tubes are used to re-route the blood through a special pump called a heart-lung bypass machine. This machine adds oxygen to the blood and keeps the blood warm and moving through the rest of the body while the surgeon is repairing the heart.
  • Using the machine allows the heart to be stopped. Stopping the heart makes it possible to repair the heart muscle itself, the heart valves, or the blood vessels outside the heart. After the repair is done, the heart is started again, and the machine is removed. The breastbone and the skin incision are then closed.

For some heart defect repairs, the incision is made on the side of the chest, between the ribs.pediatric-heart-surgery-1 This is called a thoracotomy. It is sometimes called closed-heart surgery. This surgery may be done using special instruments and a camera.

Another way to fix defects in the heart is to insert small tubes into an artery in the leg and pass them up to the heart. Only some heart defects can be repaired this way.

Why the Procedure is Performed

Some heart defects need repair soon after birth. For others, it is better to wait months or years. Certain heart defects may not need to be repaired.

In general, symptoms that indicate that surgery is needed are:

  • Blue or gray skin, lips, and nail beds (cyanosis). These symptoms mean there is not enough oxygen in the blood (hypoxia).
  • Difficulty breathing because the lungs are “wet,” congested, or filled with fluid (heart failure).
  • Problems with heart rate or heart rhythm (arrhythmias).
  • Poor feeding or sleeping, and lack of growth and development of the child.

Risks for any surgery are:

  • Bleeding during surgery or in the days after surgery
  • Bad reactions to medicines
  • Problems breathing
  • Infection

Additional risks of heart surgery are:

  • Blood clots (thrombi)
  • Air bubbles (air emboli)
  • Pneumonia
  • Heartbeat problems (arrhythmias)
  • Heart attack
  • Stroke

Before the Procedure

If your child is talking, tell them about the surgery. If you have a preschool-aged child, tell them the day before what will happen. Say, for example, “We are going to the hospital to stay for a few days. The doctor is going to do an operation on your heart to make it work better.”

If your child is older, start talking about the procedure 1 week before the surgery. You should involve the child’s life specialist (someone who helps children and their families during times like major surgery) and show the child the hospital and surgical areas.

Your child may need many different tests:

  • Blood tests (complete blood count, electrolytes, clotting factors, and “cross match”)
  • X-rays of the chest
  • Electrocardiogram (EKG, or ECG)
  • Echocardiogram (ECHO, or ultrasound of the heart)
  • Cardiac catheterization
  • History and physical

Always tell your child’s health care provider what medicines your child is taking. Include drugs, herbs, and vitamins you bought without a prescription.

During the days before the surgery:

  • If your child is taking blood thinners (drugs that make it hard for blood to clot), such as warfarin (Coumadin) or heparin, talk with your child’s provider about when to stop giving these drugs to the child.
  • Ask which drugs the child should still take on the day of the surgery.

On the day of the surgery:

  • Your child will most often be asked not to drink or eat anything after midnight the night before the surgery.
  • Give your child any drugs you have been told to give with a small sip of water.
  • You will be told when to arrive at the hospital.

After the Procedure

Most children who have open-heart surgery need to stay in the intensive care unit (ICU) for 2 to 4 days right after surgery. They most often stay in the hospital for 5 to 7 more days after they leave the ICU. Stays in the intensive care unit and the hospital are often shorter for people who have closed-heart surgery.

During their time in the ICU, your child will have:

  • A tube in the airway (endotracheal tube) and a respirator to help with breathing. Your child will be kept sleeping (sedated) while on the respirator.
  • One or more small tubes in a vein (IV line) to give fluids and medicines.
  • A small tube in an artery (arterial line).
  • One or 2 chest tubes to drain air, blood, and fluid from the chest cavity.
  • A tube through the nose into the stomach (nasogastric tube) to empty the stomach and deliver medicines and feedings for several days.
  • A tube in the bladder to drain and measure the urine for several days.
  • Many electrical lines and tubes used to monitor the child.

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Most Advanced Pediatric Heart Surgery in India

Most Advanced Heart Valve Replacement Surgery in India

What is Valve Replacement Surgery?

Heart valve replacement surgery is a procedure by which surgeons remove a damaged heart valve and substitute it with grafts or parts from body tissues or with synthetic heart valves to restore the normal functioning of the heart.valve-replacement13

Heart valve replacement surgery is done under general anaesthesia and takes about four to five hours. The surgery is done either as an open-heart surgery where in the patient is put on a heart lung machine or rarely as beating heart surgery without the use of heart lung machine, while the patient’s heart is normally beating.

There can be various reasons for heart valve replacements like:

  • Mitral valve regurgitation is a condition where the oxygenated blood flows backwards into the lungs as opposed to flowing through. Patients have angina arrhythmia and shortness of breath.
  • Narrowed valve is one more reason for valve replacement in cases like aortic stenosis or mitral stenosis.
  • When the valve is leaky, like in aortic regurgitation or aortic insufficiency, the condition requires valve replacements. Left untreated it may lead to heart failure.

Valve defects can be congenital that is a birth defect or can be a result of degenerative mechanism. Other causes for valve damage can be infections such as bacterial endocarditis or ischemic heart disease.

Aortic and mitral are the most commonly replaced valves whereas pulmonary and tricuspid are not commonly replaced. The replaced valves can be made either of tissues from animals or humans and mechanical valves made of man-made material.

  • Tissue valve where animal or human donor is used
  • Mechanical valve is made of durable materials

What is the Diagnosis for Valve Replacement Surgery?

The following tests may be done to conclude and diagnose valve diseases

  • Echocardiography
  • Transesophageal echocardiography
  • Cardiac catheterization (also called an angiogram)
  • Radionuclide scans
  • Magnetic resonance imaging (MRI)

Procedure of Heart Valve Surgery

Heart valve surgery means repair or replacement of the diseased valves. In the surgery, some valves are repaired or mended to do its work properly. Replacement means removal of the diseased valves by a new valve. The procedures of heart valve surgery are :

  1. Valve Repairing : In the valve repair surgery, a ring is sewn around the opening of the valve to make tighter. The surgeons may cut the other parts or may separate and shorten it to help the valve open and close right.
  2. Valve Replacement : Sometimes by mending the valves, it is not possible to cure the unhealthy valve, and then replacement is required to get back its normal function. A prosthetic valve is used to replace. There are two types of prosthetic valves.
    1. Mechanical valves : These types of valves are made from man-made materials. While heart surgeons’ use this valve, lifetime therapy with an anticoagulant is prescribed to the patient.
    2. Biological (tissue) valves : The surgeons take biological valves from pig, cow or human donors. The longevity of biological valves is less than the mechanical valves.

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Most Advanced Heart Valve Replacement Surgery in India

Most Advanced Robotic Heart Surgery in India

Robotic surgery for cardiac could be a style of heart surgery performed through small incisions within the chest. The procedure is usually known as da vinci surgery as a result of that’s the name of the manufacturer of the robot typically used for this procedure Robotic surgeries are used for variety of various heart-related procedures, as well as mitral valve repair, coronary artery bypass, heart defect repair, and tumor removal.
Robotic heart surgery square measure currently wide wont to give patients with less pain and quicker recovery time. Limitations in surgical equipment have prohibited their use throughout heart bypass surgery — so far. mp6The advancement of computerized robotic technology is one among the foremost exciting breakthroughs in surgery so far, enabling surgeons to perform complete, bypass surgery less invasively.

Robotic heart surgery in India is that the latest and most advanced technique within the world to perform heart surgery with greatest precision robot assisted Heart Procedures are done to treat a spread of conditions:
• Mitral valve repair—surgery to repair issues with the valve between the higher and lower chambers on the left aspect of the heart
• Coronary artery bypass graft (CABG)—surgery that makes a path around blocked heart vessels in order that blood will reach the heart muscle. The bypass is completed mistreatment blood vessels from alternative parts of the body to
Atrial septal defect repair—surgery to shut a hole within the wall between the higher 2 chambers of the heart
• Biventricular pacemaker lead placement for heart failure—surgery to position leads (wires) on the inner surface of the heart’s ventricles. The leads square measure connected to a biventricular pacemaker to assist the heart drill in a regular rhythm.

Da Vinci Robotic system
The da vinci robot could be a extremely sophisticated tool that permits the surgeon to perform the procedure with bigger exactitude and management than is feasible in ancient active surgery. In robotically assisted surgeries, the chest cavity is accessed through dime-size “keyhole” incisions.
The surgeon sits in an exceedingly console equipped with controls that direct robotic arms to perform the surgery. The da Vinci’s robotic arms square measure basically associate extension of the surgeon’s hands. a small camera attached to a robotic arm provides the surgeon a very careful, three-dimensional read of the operational area within the chest. The robotic arms square measure terribly agile, providing the surgeon a bigger vary of motion than is feasible with hand-manipulated moves in commonplace procedures.

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Most Advanced Robotic Heart Surgery in India

Risk Factors for Heart Disease and Heart Attack – Low Cost Heart Surgery in India

heart-attack-infographic-infographics-low-color-style-icon-object-disease-factors-medical-set-elements-symbols-62451827Heart attacks became one in all of} the foremost common health considerations in every unit. Lack of data will trigger a a lot of serious condition and create true worse although a patient suffers a light attack.

But once will it happen exactly? an individual suffers a attack once the traditional blood offer to the guts is interrupted.

Just like different organs and tissues in your body, the guts too wants an identical offer of blood wealthy in atomic number 8. attributable to short offer of blood to your heart, the viscus muscles could get badly broken and begin to wear out. If the condition isn’t treated like a shot, heart muscles could suffer AN sealed injury. As an even bigger portion of the viscus muscles get affected, the guts ceases to beat which is that the actual moment once a victim gets a attack.

A scientific clarification of attack would be Coronary cardiopathy (CHD). during this condition, very little deposits of cholesterin known as plaques block the arteries. A attack could happen once a grume created by a damaged plaque blocks the flow of blood within the arteries.

Risk Factors for  Heart Attack

Smoking: Did you recognize that vasoconstrictor and carbon monoxide gas place lots of stress on the guts by forcing it to figure faster? This, in turn, accelerates the chance of blood clots. Besides, the presence of various chemicals within the smoke injures the liner of your coronary arteries. it’s calculable that smoking will enhance heart risk by twenty four p.c.

High blood pressure: high blood pressure tends to deteriorate the coronary arteries, so creating them completelyat risk of CHD. Hence, an individual with high vital sign is at a high risk of heart attacks and CHD.
Diabetes: once blood sugar levels related to sort one and kind two polygenic disorder will increase, there’s a particular quantity of harm to the victim’s coronary arteries. As a result, the chance of CHD will increase.

Obesity: folks that ar weighty or ar extremely overweight might not be directly in danger of a attack, howeverthey’re at a bigger risk of developing high blood pressure and polygenic disorder. Overweight peopleadditionally tend to own high cholesterin level that results from ingestion fat-rich diet.

Advantages of Heart Surgery in India

Experience

With india witnessing large range of Heart illness patients, the expertise of the Heart Surgeons has enhancedhugely in india. This conjointly has diode to extend within the success rates of the Heart Surgery procedures.

World class Technology

India offers most advanced technological setting for Heart patients from everywhere the world. starting from Robotic Heart Surgeries to Hybrid operative Suites, everything is obtainable in india and is at par with any of the top Hospitals within the world.

Low price of Treatment

India has no parallels in health care once it involves price effective treatments as compared with different countries. important price variations exist among U.S., kingdom and South Asian countries. the price of a Heart Procedure in india is sort of one fifth of the price incurred within the U.S. or elsewhere. Eg a coronary artery bypass graft at U.S. would price 28,000 USD as against 5500-6000 USD in india.

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Risk Factors for Heart Disease and Heart Attack – Low Cost Heart Surgery in India

Cardiac Valve Replacement Surgery In India

Heart Valve Replacement Surgery:

Heart valve replacement surgery is a procedure by which surgeons remove a damaged heart valve and substitute it with grafts or parts from body tissues or with synthetic heart valves to restore the normal functioning of the heart.valve-replacement13

Heart valve replacement surgery is done under general anaesthesia and takes about four to five hours. The surgery is done either as an open-heart surgery where in the patient is put on a heart lung machine or rarely as beating heart surgery without the use of heart lung machine, while the patient’s heart is normally beating.

Symptoms:

If the heart valve(s) becomes damaged or diseased, a person may experience the following symptoms:

  • Dizziness
  • Chest pain
  • Breathing difficulties
  • Palpitations
  • Edema (swelling) of the feet, ankles, or abdomen
  • Rapid weight gain due to fluid retention.

Valve replacement Surgery procedure:

The patient is put under general anaesthesia and connected to the heart lung machine. This machine takes over the pumping, circulatory, and respiratory functions of the heart and lung till the surgical procedure is going on.

The valves are accessed by cutting open the rib cage and accessing the heart directly. The old valves are sliced from their attachments and new valves are put in their place. The new valves may be obtained from a cadaveric donor, or an animal (pig) or it may be made of a nonreactive inert material.

The patient needs to be given anticoagulants or immunosuppressive to clotting of blood or rejection of organ. The prognosis of this surgery is good. It is many a time a life-saving and life extending surgery.

Types of Heart Valve Replacement:-

Open-heart valve replacement surgery It is a surgical procedure wherein the patient’s heart is exposed in the operation theatre and surgery is performed on the internal structures of the heart. During the surgery, the patient is placed on a heart-lung machine that allows blood to flow through the heart while the surgery is being performed.

Minimally Invasive Heart Surgery: Minimally Invasive Heart Surgery, also known as Keyhole surgery, is performed by making small incisions of about 3 to 4 inches in the heart muscle, through specialized surgical instruments. In most cases, minimally invasive heart surgery focuses on Mitral valve repair, Aortic valve repair and Tricuspid valve repair.

Valvuloplasty : It is a technique wherein the stiff aortic valves are treated with the help of a balloon catheter. The balloon is positioned in the aortic valve and subsequently inflated to expand the size of the valve, leading to improved blood flow.

Double and Triple Valve Repair and Replacement in India

Double valve repair and replacement procedure aims at correcting or replacing both these damaged valves (aortic & mitral together) with new functional valves. This is done through the open heart surgery. Triple valve replacement repair and replacement means repair or replacement of three valves of the heart.

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Cardiac Valve Replacement Surgery In India