The aortic valve opens and closes periodically. As it opens, the blood enters in the aortic valve, and as it closes, the blood flows to other vital organs of the body.
This cycle repeats with every heartbeat. Any disorder in the aortic valve can lead to flowing back of blood back into the heart, and oxygen-rich blood cannot reach other parts of your body.
In this condition, the cardiologists recommend for the surgical treatment to replace your Transcatheter Aortic Valve, known as Transcatheter Aortic Valve Replacement.
Transcatheter Aortic Valve Replacement is a minimally invasive surgical procedure when the surgeon's repairs the aortic valve without removing the damaged or diseased Aortic Valve of the heart with the help of an Artificial Aortic Valve.
A person suffering from the following medical conditions require Aortic Valve Replacement. Regurgitation: It is a medical condition when the aortic valve does not close properly, and blood flows back to the heart. Stenosis: In this type of heart disorder, the opening of the aortic valve gets too narrow, and it does not allow sufficient blood to pass through it. A patient generally identifies that he or she is not in good health if any of the above aortic valve disorders, hit the body; as it reflects specific signs and symptoms. They are: Dizziness Fainting Nausea Chest pain and Shortness of breath. Valve Replacement is essential for patients suffering from Aortic Valve Disorder; else it can prove to be fatal. The Procedure for Transcatheter Aortic Valve Replacement: The cardiologists make use of two types of artificial valves to replace the diseased aortic valves, they are: Biological Valves: Biological valves are the part of the animal tissue, and they usually last for ten to 20 years. These valves are the safest for Aortic Valve Replacement as it does not involve many complications like blood clotting or you will not require blood thinners for the secure transmission of blood. Mechanical Valves: Mechanical valves can be usually made of plastic, metal or carbon. These valves have longer-lasting and come with no expiry. However, these valves have huge risks attached to it and are not suitable for all patients. The most common restriction of using the mechanical valves for transplant is that the patient has to stick to blood-thinning drugs for the remaining life. It also involves certain complications like blood clotting, bleeding, infection etc. The choice of mechanical valves depends on the medical condition and suitability of the patient. Surgical Procedure: Before undergoing surgery, the patient has to undergo diagnosis procedure. It includes blood tests and imaging tests to detect the severity of the damage, the exact location of the aortic valve and also the overall well-being of the patient. For surgery, the doctor first decides on the type of valve and then opts for the nature of the operation. It can either be: Open Heart Surgery or Minimally Invasive Surgery In both surgeries, the cardiologist gives general anaesthesia to the patient; before proceeding with the surgical procedure. In open-heart surgery, the cardiologist splits open your chest bone, stops your heart, add all the valves of the heart to the heart-lung bypass machine and finally replaces the damaged or diseased aortic valve with a mechanical or biological valve. The long incision is then closed with the help of wire, that remains in place permanently. It takes 4 to 6 hours to complete the open-heart surgery. If the doctor decides for minimally invasive surgery for the patient, which is less common, there is no requirement of massive cuts in the body. The cardiologist makes 2 to 4 small incisions in the chest to get access to the aortic valve. He may or may not use the heart-lung machine during the surgery. He replaces the aortic valve with the new valve and then closes the incision. The small incisions do not leave markable scars after the recovery. Minimally invasive surgery can be both manual and robotic. It takes only one to two hours to complete the minimally invasive surgery. Recovery After the Surgery: Once the patient is out of the impact of anaesthesia, the doctor shifts him to the cardiac care unit. Here the patient is under observation for 3 to 4 days. The entire medical team is present to assist the patient. Even after the discharge, the patient must remain in the city for 15 to 20 days for the follow-up. The doctors decide on the number of days for stay, depending on the condition of the patient. The cardiologist suggests some patient gets admitted to the cardiac rehab centre to avoid complications. In the rehabilitation centre, the patient receives complete guidance for diet, exercise, rest, lifestyle changes, do's and don'ts and much more. Even after leaving the rehabilitation centre, the patient must follow all the rules and regulations. It is essential to adapt to healthy living to improve the chances of survival and reduce risk after the surgery. Keep visiting the doctor from time to time to get a routine checkup done. Complications After Transcatheter Aortic Valve Replacement: Transcatheter Aortic Valve Replacement is one of the most complicated cardiac surgeries. It involves some of the common risks like: Blood Clots Excessive Bleeding Infection Wear and tear out of the replaced valve Irregular heartbeat Failure of the valve Renal diseases. Complications are more in case of open-heart surgery. The chances of risk are higher in patients with age over 50 years, and it also depends on the overall physical and mental well-being of the patient. Most of the medical tourists are planning their cardiac treatment in India because of the immediate availability of the cardiologists, high success rate of surgeries, low cost of treatment and above all satisfactory services by medical tourism companies. Because of the availability of a few best medical tourism companies like Denesa Health in India, health travel has become highly convenient for all patients across the globe. As the patient approaches the team Denesa Health and approves their visit to India, the team takes care of all the arrangements. The patient can relax, undergo surgery and fly back to their country happily.
The starting price of TAVR replacement in India is USD 32,000. It can increase up to 42,500 if the condition of the patient is complicated.
Artemis Hospital, a multispeciality hospital is one of the best treatment centres for TAVR in India.
Dr Murtaza A Chishti is one of the best doctors for TAVR in India.
Usually, a patient has to stay for a week in the hospital. After the discharge from the hospital, you might have to stay for three to four weeks outside the hospital. It is essential for the follow-up care after the surgery, and to avoid the complications.
TAVR is approximately 98% successful in the top hospitals in the country.
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