80-yr-old undergoes complex heart surgery, discharged in 24 hours

In India, a whopping 1.4 million people suffer from aortic valve stenosis. It is one of the most common and severe valve diseases. It generally means narrowing of the aortic valve opening which in turn, restricts blood flow to the left ventricle, which may even lead to death

80-yr-old undergoes complex heart surgery, discharged in 24 hours

In India, an elephantine population of 1.4 million suffers from an ailment called the aortic valve stenosis. Being one of the most common and severe valve diseases, it generally means narrowing of the aortic valve opening which in turn, restricts blood flow to the left ventricle. This could eventually mean death of a patient. Generally, with age, the narrowing of the valve gets faster and hence can prove fatal.

In one-of-a kind surgery, doctors from Dr LH Hiranandani Hospital, Powai performed a surgery that replaced the aortic valve with a valve through the groin artery into the heart. This meant the patient could go home with just a 5mm cut in the groin region, that too in just 24 hours!

“The patient was admitted on Saturday when the surgery took place.  He was discharged on Sunday. The procedure, known as transcatheter aortic valve replacement (TAVR). It is like how angioplasty became a substitute/ option for open heart bypass surgery, but only can be used when there’s a risk of life in open bypass surgery. It’s only because of timely and right intervention that this 80-year-old could be saved,” said Dr Ganesh Kumar, an Interventional Cardiologist at the Dr LH Hiranandani Hospital, Powai.

He further added, “In India, we have at least 1.4 million people suffering from severe symptomatic Aortic stenosis. However, there is no denying that the treatment may not be very affordable.”

The procedure is a specialized one, say experts. “This procedure is generally used in patients for whom a conventional open heart surgery is not possible. It is used mostly for elderly patients. It is a specialized procedure,” said Dr Sanjeev Jadhav, a heart transplant surgeon, Fortis Hospital.

“It is a relatively new technique in the country. The results of the technique are quite promising. Currently, not used in children, but with technologies being upgraded, that could also be a reality,” said Dr Kshitij Sheth, an interventional paediatric cardiologist at PD Hinduja Hospital.