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

Atrial Septal Defect Repair in India | Heart Hole Surgery in India

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Atrial Septal Defect (ASD), more commonly known as ‘Hole in the Heart’ is a Congenital Heart Disease present at birth. Atrial Septal Defect is a hole in the wall (septum) that separates the upper chambers (atria) of the heart into right and left atrium. This hole (defect) can be between 0.5 – 2 cm in diameter. Some of the oxygenated blood flows from the left atrium to the right atrium which contains blood that is poor in oxygen. This mixing increases the volume of blood in the right atrium that will be carried to the lungs for oxygenation, thus increasing the burden on the lungs to perform it’s function. Atrial Septal Defect is a common Congenital Heart Disease that can sometimes be asymptomatic in children. Atrial Septal Defect is the second most common Congenital Heart Disease (about 6 – 8% of all Congenital Heart Disease) and is more common in girls.

What are the types of Atrial Septal Defect?

Depending on the location of hole in the atrial wall, Atrial Septal Defect can be of 3 types:

  • Ostium Secundum Atrial Septal Defect – In this type of Congenital Heart Disease, the Atrial Septal Defect is present in the center of the septum.
  • Ostium Primum Atrial Septal Defect – This type of defect is present in the lower portion of the atrial septum.
    • Slow Growth and Development – Your child might have slow mental and physical growth and development as the body’s increased demand for oxygenated blood is not met.
    • Reduced Activity level – Your child’s activity level will have to be monitored as symptoms like dizziness and breathlessness with increased activity may be a problem. However, after the surgery for the closure of Atrial Septal Defect, this is not a problem any more.
    • Enlargement of the right side of Heart – Due to shunting of blood from the left to the right side of the atrium, the right side of heart may enlarge over time due to increased workload.
    • Pulmonary hypertension – Due to increased flow and pressure of blood in the lungs and pulmonary blood vessels, the pulmonary arteries may get diseased resulting in pulmonary hypertension.
    • Tricuspid valve regurgitation – The tricuspid valve, which is the valve between the right atrium and the right ventricle stretches and does not close properly, allowing some of the blood to leak back from the ventricle to the atrium instead of allowing it to move forward.
    • Irregular heart beats – Also called arrhythmias, this is a very serious problem associated with untreated Atrial Septal Defect.
    • Risk of Stroke – In people with Atrial Septal Defect, a blood clot or air bubble may develop that may travel to the brain and cause stroke.Sinus Venosus Atrial Septal Defect – This type of Atrial Septal Defect is present in the upper portion of the septum.

      Why is surgery for the closure of Atrial Septal Defect necessary?

      Small Atrial Septal Defects usually close on their own as your child grows up and do not require any medical or surgical intervention as there are no symptoms. However, children who have a large Atrial Septal Defect need surgical intervention so that they can lead normal and healthy lives after the surgery. If the option of timely surgery for the closure of Atrial Septal Defect is not considered for some reason, then unfortunately your child might have to deal with some of the following consequences:

     

    What does the surgical repair for Atrial Septal Defect involve?

    Atrial Septal Defect is most commonly closed by Open Heart Surgery. Due to worsening of symptoms with age, children suffering from Atrial Septal Defect should be operated upon between 3 – 6 years of age. The term Open Heart Surgery is used for surgical procedures performed on the heart where the heart is stopped and is connected to a heart-lung machine which oxygenates the blood and circulates it throughout the body. The surgeon makes an incision in the middle of the chest through the breast bone (sternotomy) to expose the heart. The heart is stopped and it’s function is completely taken over by the heart-lung machine. The Atrial Septal Defect is either stitched (if small) or patched with a special mesh to close the hole. Once the procedure is complete, the heart is re-started and the chest incision is sutured. The Open Heart Surgery to correct Atrial Septal Defect is considered a major surgery and is performed under general anesthesia.

Atrial Septal Defect Repair in India | Heart Hole Surgery in India