India Cardiac Surgery Site is associated with experienced cardiologists to deliver the perfect treatment and recuperative plan. Before the surgery, we will educate the patient with every fact involved in surgery and maintain the transparency in procedure, facilities and the related costs. We provide quality services and also assists with arrangements by keeping the concerns of the international patients in mind, providing you the utmost care and professionalism.
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Affordable Mitral Valve Repair in India
The Mitral Valve is positioned in the heart’s left side, between the left upper chamber and the left lower chamber. Mitral Valve repair involves fixing your natural mitral valve, as opposed to replacing the valve with a mechanical or tissue valve.
Valvuloplasty is a technique aimed at making sure the flaps of the valves (or leaflets) close properly, preventing blood from backing up into the atrium. In the healthy heart, blood flows from the upper chamber (atrium) to the lower chamber (ventricle), and from the ventricle to the body.
Commissurotomy is a special form of valvuloplasty. Commissurotomy is used when the leaflets of the valve become stiff and actually fuse together at the base, which is the ring portion (or annulus) of the valve. Sometimes a scalpel is used to cut the fused leaflets (commissures) near the ring, which may help them open and close better. In other cases, a balloon catheter, similar to a catheter used during angioplasty, is inserted into the valve. The balloon is inflated, splitting the commissures and freeing the leaflets to open and shut fully. Unlike other valvuloplasty procedures, this procedure can be done in the cardiac catheterization lab, and the chest does not have to be opened.
Annuloplasty is a technique aimed at repairing the fibrous tissue at the base of the heart valve (the annulus). Sometimes, the annulus becomes enlarged, which enables blood to back up into the atrium. To repair this, sutures are sewn around the ring to make the opening smaller. This creates a purse string effect around the base of the valve and helps the leaflets meet again when the valve closes.
Sometimes when repairing the annulus, it is necessary for the surgeon to implant an annuloplasty ring. A ring is used to correct a problem, provide support for the valve, and reinforce other repair techniques or any combination of these.
Check out the Patient Testimonial, where the patient shares about their success stories from treatments through India Cardiac Surgery Consultants.
What to Expect Before Mitral Valve Repair in India?
For your heart valve surgery, a highly qualified team of medical personnel works together to ensure the safest possible procedure. An anesthesiologist will examine and talk to you about the surgery and medications that will be used during the procedure. A perfusionist will operate the heart-lung machine that keeps oxygenated blood circulating through the body while the heart is stopped so that surgery can be performed on it. There are other specialized surgical team members and nurses who assist and closely monitor your condition.
Before the surgery, you will receive an intravenous (IV) line in your arm or hand. This will enable your doctor to give you medications and fluids. You will be asked to remove any jewelry, contact lenses, eyeglasses, hearing aids, and dentures. Your doctor will probably give you a mild sedative in your IV prior to the procedure.
Complications & Risks
With improvements in technology and surgical techniques, there has been continued reduction in complications associated with open-heart surgery. Still, every open-heart surgery entails some risk. Though rare, some of the potential complications include infection, bleeding, stroke, and heart attack.
Ask your physician if you have any questions about potential risks or if you have more questions about heart valve repair.
What to Expect During Mitral Valve Repair in India?
First, you will be fully anesthetized. To access the heart, the best mitral valve repair surgeon in India will make an incision down the center of the chest, separating the breastbone. In order to operate on the heart, it must be still. To accomplish this, the heart-lung machine is used to take over the job of the heart and the lungs. The right atrium is accessed with a special tube that will carry blood from the body to the machine, which oxygenates the blood. The machine then pumps the oxygenated blood through another tube that has been placed into the aorta to circulate the blood back through the body. The term bypass is often used to describe this method of bypassing the heart and lungs. (This is not to be confused with a coronary artery bypass or CABG procedure, which is also nicknamed bypass.)
The procedure depends on the nature of the valve disease (valvuloplasty or annuloplasty). Once the repair is made, the heart-lung machine is withdrawn; and the heart is started again to circulate blood through the lungs and body. The breastbone is rejoined with wires and the incision closed.
The procedure outlined here is a conventional, open-chest procedure for valve replacement or repair surgery. Recent technology has allowed surgeons to perform valve replacement or repair with less invasive techniques. This is not always an option for all people and may depend on whether the facility has the technology available. In some cases, the specific nature of the repair needed cannot be performed using the less invasive technology, and conventional surgery is required. The less invasive the approach, the more likely a shorter procedure time, reduced hospital stay, and quicker recovery will be involved.
What to Expect After Mitral Valve Repair?
After surgery, you will be placed in the intensive care unit (ICU) where you can be continuously monitored. Breathing during surgery, and for a while afterwards, is assisted through a tube that has been placed down your throat and positioned in your lungs. You will probably wake up with this tube still in position. It is removed as soon as you are stable and awake enough to breathe on your own. You will not be able to talk while this tube is in place. Other tubes will protrude from your chest near the heart to drain extra blood and fluid from the surgical area. Intravenous (IV) lines give fluid, blood, and medications as needed. A bladder catheter drains urine. A monitor shows the heart rate, heart rhythm, blood pressure, and other special pressures and waves that the nursing staff watches closely to assess how the recovery is going. Medications are given as needed to ease pain and anxiety.
Every patient recovers at a different rate. The tubes are removed as recovery progresses. The ICU stay is usually a day or two. Then you will be moved to a cardiac medical-surgical floor where your heart is still continually monitored, but you can be more independent and active. The health care team continues to support and instruct you in recovery care, rehabilitation, medications, nutrition, and other needs.
Just as the recovery from surgery in the hospital differs for each patient, so will your recovery at home. Upon discharge, you likely will not feel fully recovered. It will take, on average, six to eight weeks at home before you can return to your normal routine. You will gain more energy and strength each day during these weeks. Some days will be better than others-this is normal. Be sure to rest when you get tired.
During those first weeks, you will visit your doctor to monitor your recovery. You may undergo tests to assess how your new valve is working (electrocardiogram, echocardiogram, or chest x-ray). Blood work may also be performed to assess your medication levels.
It is normal to have some discomfort, bruising, numbness, and itching at your incision site for several weeks after the surgery. Follow the instructions from your physician for proper wound care. A shower or gentle washing of the incision is usually all that’s recommended. Tub baths are typically not allowed because they can affect your circulation. To help prevent infections, avoid using creams or lotions around your incision, until your physician allows it.
After Robotic Mitral Valve Repair in India a progressive increase in activity over time will improve your strength and endurance. The goal is a well-conditioned heart muscle that pumps more effectively. Walking is one of the simplest and most effective forms of exercise you can do. More aerobic exercise, such as a brisk walk, swimming, or bicycle riding, will provide cardiovascular conditioning. Talk with your physician and follow his or her advice about the best exercise program for you.
Some activities, especially lifting, will be limited in the beginning to allow adequate healing of your breastbone. As healing continues, your physician will no longer find these restrictions necessary.
After surgery, some people experience fluid retention that can overload the heart and make it work inefficiently. To prevent fluid retention, your physician may recommend dietary changes and/or medications.
You can help monitor this at home by weighing yourself every morning. Report any sudden weight gain of three pounds or more in one day, or five pounds in one week. Also, contact your physician if you experience unusual shortness of breath or observe swollen hands, ankles, or stomach.
Bacteria can enter the bloodstream during dental and some surgical procedures causing an infection, known as bacterial endocarditis, in the tissue surrounding the heart valve. Although this occurs infrequently, antibiotics taken before and after medical procedures are the best defense. Consult your physician before you have any dental or surgical procedures done so that antibiotics can be prescribed. Be sure to tell your dentist and any other physicians that you had heart valve surgery.
Long-term management of your health requires your active participation. Your physicians will follow your progress, but only if you visit them as recommended and scheduled so that you receive the proper follow-up care. Consult your physician about any concerns or questions you have. Work as a team toward a healthy recovery.
- What are the symptoms of a leaking mitral valve?
- Many patients with mitral valve disease do not have symptoms (are “asymptomatic”), even if they have a severe leaking valve. When patients with mitral valve disease do have symptoms, they can include:
- Palpitations (feelings that your heart is skipping a beat, fluttering, or beating too hard or too fast)
- Shortness of breath
- Fatigue (tiredness), dizziness, or anxiety
- Loss of energy
- Migraine headaches
- Chest discomfort
- Swelling of the ankles and palpitations (extra or skipped heart beats)
- How is a leaky mitral valve diagnosed?
- The first step to diagnosing a leaky mitral valve involves listening with a stethoscope. Using a stethoscope, the doctor hears a heart murmur, which represents turbulent blood flow across an abnormal valve.
The diagnosis of a leaky mitral valve is confirmed by an echocardiogram. Ultrasound is used in an echocardiogram to help the doctor visualize the heart valves and determine the severity and cause of the leak.
- Will I need to take antibiotics before surgery or dental work?
- Bacteria may enter the bloodstream during dental and some medical procedures. This bacteria may then cause an infection, known as bacterial endocarditis, in the tissue surrounding an artificial heart valve or ring. Although this does not happen frequently, it can have serious consequences. The easiest and best defense is simply taking antibiotics before and after dental work and other medical procedures. Check with your physician before having any dental or medical procedures performed. Inform your dentist and any other physicians that you have an artificial heart valve.
- Will my artificial heart valve or ring set off an airport metal detector?
- The amount of metal used in mechanical heart valves and heart valve rings is very small. It is usually not enough to set off the metal detectors; however, if it does, simply show security personnel your patient identification card. Passing through a metal detector will not hurt your heart valve.
- How can I get an identification bracelet?
- It is important to have some type of identification that indicates you have had a heart valve replaced. Additionally, if you are on anticoagulant medication, this information should be included on the identification. A bracelet, necklace, or wallet card are all good ways of identifying this important information.
You may purchase a medical identification bracelet or necklace from a jeweler or pharmacy.
- What should I be eating?
- A heart-healthy diet is recommended for everyone, but especially for people who have any type of heart disease, including heart valve disease, or for those who have had valve surgery. Surgery for heart valve replacement or repair does not eliminate the possibility of developing further heart disease.
- What is a heart-healthy diet?
- Use fats and oils sparingly, avoiding saturated fats, such as butter, cream, cheese, fatty meats, and bakery products. Try to prepare your food by grilling, microwaving, and baking. Choose low-fat foods, such as lean meats, poultry, fish, fresh fruits, and vegetables, as well as whole-grain breads and cereals. Ask your physician to help you develop a heart-healthy diet.
- Is it okay for me to undergo diagnostic tests, such as MRI and CT scans?
- Non-clinical testing has demonstrated that heart valves and repair devices are MR Conditional. They can be scanned safely under the following conditions:
- Static magnetic field of 3 Tesla or less
- Spatial gradient of 525 Gauss/cm or less
- Maximum whole-body-averaged specific absorption rate (SAR) of 2.0-W/kg for 15 minutes of scanning
In non-clinical testing, the valves and repair devices produced a temperature rise of less than or equal to 0.5˚C at a maximum whole body averaged specific absorption rate (SAR) of 2.0 W/kg for 15 minutes of MR scanning in a 3-Tesla Signa model (GE) MR scanner. MR image quality may be compromised if the area of interest is the exact same area or relatively close to the position of the device.
- Why should a patient choose India Cardiac Surgery Consultants for cardiac care?
- India, Cardiac Surgery Consultants provide a vast number of high quality cardiac services. The cardiac team includes board-certified cardiologists and cardiac surgeons, specially trained nurses, and registered technologists. The cardiac team at uses the most advanced technologies available to perform the cardiac procedures like Robotic Mitral Valve Repair at an affordable cost in India and has a lower complication rate.
- Can I choose my own hotels according to my budget?
- You can most definitely choose hotels as per your convenience to you and your budget.
- How much can I really save?
- The expenses involved in Valve replacement surgery in India are nearly 25% of that in the majority of Western countries. So that means a lot of savings when considering the cost of mitral valve repair in India!
- Can I speak with the doctor before I come to India for treatment?
- You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.
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