New method in heart surgery makes aortic valve implant easier

heart surgery
Representative image. Photo: Shutterstock

That Kochi has facilities to simplify heart valve surgery is indeed good news for Kerala. This is the first time in the state that the Perceval Sutureless Aortic Valve has been successfully installed. Sudha (55), a resident of Palakkad, underwent a modern valve replacement surgery at Aster Medicity Hospital. The team was led by the Department of Cardiac Surgery Senior Consultant Dr. Manoj P. Dr. Nair, Head, Anesthesia & Critical Care, Suresh G. Dr. Nair, Consultant and Consultant of Cardiac Surgery department Dr George Varghese Kurian.

Sudha was admitted to the cardiology department at Aster Medicity after noticing shortness of breath and abnormal heartbeat. The expert examination has confirmed a condition called calcific aortic valve, which is an excessive accumulation of calcium in the aortic valve of the heart. It causes a decrease in blood flow through the aortic valve. It was also difficult to treat Sudha who already had diabetes, high blood pressure, parathyroid hormone and hypercalcemia.

(From left) Dr. George Verghese Kurien, consultant, cardiac surgery division; Farhan Yasin, regional director, Aster Hospitals Kerala Cluster and Oman; Manoj P Nair, senior consultant, cardiac surgery division and Joel Davsya, anaesthesia and critical care consultant.

The treatment method calls for replacing the damaged valve. The most commonly used treatment is transcatheter valve implantation (TAVI), which replaces the aortic valve with open-heart surgery. But the patient's complicated health condition raised concerns about how successful TAVI surgery would be. With this came the decision to install an innovative aortic valve percussive. Sudha was discharged from the hospital within days of the operation.

The advantages of the new treatment are lower treatment costs and better benefits compared to Tavi. According to the senior consultant in the Department of Cardiac Surgery, Dr. A.S. Manoj P. Nair, Tavi isn’t complicated, and it helps in fitting a bigger valve and prevents stroke making this form of treatment very effective.

The lifespan of the Tavi valve is seven years and the lifespan of the Percival valve is up to 15 years. This procedure can be performed on as many patients as possible using the minimally invasive method. The relatively short bypass time will reduce the complications of the surgery, said Dr. George Varghese Kurian, consultant to the Department of Cardiac Surgery.

And Farhan Yasin, Regional Director, Aster Hospitals Kerala Cluster - Oman, said it was indeed a proud moment for the hospital that they are able to successfully implement new forms of technology for ordinary patients. 

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