A team of doctors at Sahyadri Hospitals led by Cardio Thoracic Surgeon, Dr Mahendra Bafna from Pune performed valve replacement on a 27-year-old youngster through small incision.
The young man knew that he had problem in the heart valve from last 7 years. He was diagnosed to have leaked aortic valve. Doctors had suggested replacement of valve but he was afraid of doctors making a large incision in middle of the chest that needed to approach the heart, and the pain after cutting of the sternal bone. So, he avoided surgery and tried medical treatment from multiple hospitals.
Then, he visited Sahyadri Super Speciality Hospital, Karve Road, Pune. He expressed his fear of the large incision and bone pain. Dr Mahendra Bafna, Cardio-Thoracic Surgeon, Sahyadri Hospitals counselled him and planned his aortic valve replacement through a small incision in the right upper part of his chest.
Surgical procedure took 7 hours; normally it takes about 2-3 hours for normal sternotomy method. Patient was in ICU for his monitoring of vitals and shifted to ward in 24 hours. He was stable and discharged within four days.
Dr Mahendra Bafna commented “several studies have shown that patients undergoing minimally invasive aortic Valve Replacement have a shorter hospital stay, less pain, shorter duration of ventilation, less blood loss and less blood transfusion than patients undergoing conventional full sternotomy.
Postoperatively, the patients can be mobilised earlier and respiratory function may also be better.” He further said “Limited exposure of the operative field is a disadvantage for the surgeon & this is reflected in longer operative time in minimal invasive cases compared with operations conducted through a full sternotomy”.
“Furthermore, minimally invasive AVR is technically even more difficult in patients with small and calcified aortic roots. This could be one of the reasons that minimally invasive aortic valve replacements are not yet being universally performed. This procedure needs no special costly instruments and is easily reproducible.”