Sunshine Hospital, Secunderabad Successfully performed rare Advanced Interventional Cardiology procedure to save a patient
Hyderabad 21st Jan 2020: Valvular heart disease is a very common cardiovascular problem in India contributing to high morbidity and mortality associated with heart failure. Rheumatic heart disease is the most common cause followed by calcific degenerative valvular diseases and for such cases “Transcatheter therapy of Aortic Valve / Mitral valve replacement” procedure which is well accepted newer modality of treatment which is an alternative to Surgical Valve replacement procedures said Dr.Sridhar Kasturi – Chief – Dept of Cardiology at Sunshine Hospital, Secunderabad.
Ideally, Transcatheter Interventional Non-surgical techniques (TAVR and TMVR) are suitable for prohibitively high risk for surgery with Short term and long term results with mortality rates comparable to surgical procedures (Open Heart Surgery). Management of Bioprosthetic valve dysfunction with Transcatheter therapy is very much possible with low mortality rate and early ambulation with a short stay in hospital he further added.
A 56 years old male patient Rama Gangireddy from Cuddapah came to Sunshine Hospital, Secunderabad on 18/01/2020 with symptoms of heart failure, SOB (Shortness of Breath), pedal oedema and facial puffiness. On further evaluation by team of Cardiologists Dr.Sridhar Kasturi, Dr.Vijay Kumar Reddy and Dr.Shailender Singh he was diagnosed as a case of heart failure due to severe malfunction of the mitral prosthetic valve (31mm Bioprosthetic valve traditionally) which was implanted 5 years ago.
In such cases, the patient requires open-heart surgery with “Redo Valve” replacement but because of previous open-heart surgery and associated comorbid conditions performing a re-do surgery is at high risk. Sunshine Heart Team which includes a group of Cardiologists and CT surgeons decided to perform “Transcatheter Mitral Valve Implantation”.On 19/01/2020 procedure was successfully performed (valve in valve) under General Anesthesia with TEE (Trans Oesophagal Eco Cardiography) guidance through right femoral vein approach, Procedure took 2 hours and during the procedure as a stand by ECMO (Advanced Mechanical Circulatory Support) and surgical backup were geared up, patient tolerated well without any complications, was extubated within 1-hour post-procedure without any complications, patient is ready for discharge said team of cardiologists in a Press Meet held today at Sunshine Hospital Secunderabad.