Heart Valve repair and Heart Valve Replacement Surgery
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In Robotic Cardiac Surgery, robotic assist the heart surgeon in performing surgery through tiny incisions. The surgeon has to sit in an operating room where he controls the instruments while looking at 3D images from the camera which is inside the patient. Various procedures can be performed in this case such as mitral valve replacement or repair, correction of HOCM etc. Use of Robotic Surgery in Cardiology has benefits as it involves less pain, scarring and risk that are otherwise involved. The surgeon can perform surgery through tiny openings in the chest, cracking the breastbone and spreading the ribs.
Surgical
- A commissurotomy is surgery to open up valves that have thickened and are perhaps stuck together. The valve is opened by cutting the points where the leaflets of the valve meet. Commissurotomy is a type of valvuloplasty or valve re-shaping.
- Annuloplasty is a technique to repair an enlarged annulus, a ring of fibrous tissue at the base of the heart valve. To repair the annulus, sutures are sewn around the ring to make the opening smaller. Alternatively, a ring-like device is attached around the outside of the valve opening. The ring provides support to the valve so it can close more tightly.
- A surgeon may reshape a valve by cutting out a section or sections of a leaflet and then sewing the leaflet back together.
- Decalcification is surgery to remove calcium buildup from the leaflets.
- Valves are supported by cords (called chordae tendineae) and papillary muscles. If these are stretched or weak, the valve may not close properly. By replacing or shortening the cords, the valve will be strengthened and able to close properly.
- If there are holes or tears in the leaflets of the valve, a surgeon may repair them with a tissue patch.
Unlike conventional surgery, minimally invasive surgery does not involve sawing through the breastbone and opening the chest. The surgeon watches the heart on a video screen and operates using long-handled surgical tools inserted through small incisions. In some cases, robotic arms are used. Minimally invasive valve repair is only available in some hospitals. It is also referred to as endoscopic or robotic heart surgery.
Percutaneous or catheter-based procedures are done without any incisions in the chest or stopping the heart. Instead, a thin flexible tube called a catheter is inserted into a blood vessel in the groin or the arm and then threaded up into the interior of the heart.
- Percutaneous or balloon valvuloplasty is used in people with stiffened or narrowed (stenosed) pulmonary, mitral or aortic valves (more commonly for the mitral than the aortic valve). A balloon tip on the end of the catheter is positioned in the narrowed valve and inflated to enlarge the opening or to crack open calcified tissue.
- Several methods of percutaneous mitral valve repair are being developed. These procedures are still in the developmental phase and are available in a limited number of centres. One example is edge-to-edge repair, which can be used in the case of a very leaky mitral valve in a patient who is considered high risk for a surgical repair or replacement. A delivery catheter holding a clip is advanced through the femoral vein from the groin into the left side of the heart, under general anesthesia. The clip is positioned beyond the leaky valve in an open position and then pulled back so that it catches the flaps of mitral valve. Once closed, the clip holds the leaflets together and stops the valve from leaking.
Valve Replacement
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Replacement is more commonly used to treat aortic valves or severely damaged mitral valves. There are two kinds of valves that are used for valve replacement and you should talk with your doctor about which type is best for you.
- Mechanical valves are made from durable metals, carbon, ceramics and plastics. A fabric sewing ring is used to attach the valve to the tissues in the patient’s heart. The major advantage is durability. However, blood thinners must be taken the rest of the patient’s life to prevent blood clots. The valve makes a soft clicking sound when it floats shut, which may bother some patients. People generally adjust quickly to this sound.
- Biological valves are made from:
- Animal tissue, either an actual pig valve or a bovine pericardial engineered valve (a xenograph).
- Human tissue of a donated heart (an allograft or homograft), used most often to replace infected valves.
- A patient’s own tissues (an autograft). A Ross Procedure (also called a Switch Procedure) involves taking the patient’s normally functioning pulmonary valve and using it to replace a diseased aortic valve. The pulmonary valve is then replaced with a donated (homograft) pulmonary valve.
The most advanced technology for minimally invasive heart surgery is now available in India. Robotic da Vinci Surgical System combines superior 3D visualization along with greatly enhanced dexterity, precision and control in an intuitive, ergonomic interface with breakthrough surgical capabilities.Biological valves are not as durable as mechanical valves and may need to be replaced between 5 and 15 years. Patients with biological valves will need to take blood thinners in the short term.
In Robotic Cardiac Surgery, robotic assist the heart surgeon in performing surgery through tiny incisions. The surgeon has to sit in an operating room where he controls the instruments while looking at 3D images from the camera which is inside the patient. Various procedures can be performed in this case such as mitral valve replacement or repair, correction of HOCM etc. Use of Robotic Surgery in Cardiology has benefits as it involves less pain, scarring and risk that are otherwise involved. The surgeon can perform surgery through tiny openings in the chest, cracking the breastbone and spreading the ribs.
Heart Surgery in India with the Best Heart surgeons in India is what medical tourists coming to India look for and is delivered at best cardiac hospitals in India . No other destination in the world can match the unparalleled clinical excellence, technology infrastructure and cost advantage offered by MedWorld India affiliated heart hospitals in India to deliver 99 percent and above successful outcomes for heart surgery.
Our aim is to reduce the deadly consequences of cardiovascular diseases through innovative therapies for patient care. Our healthcare professionals at state of the art, heart specialty hospitals have a dedicated team of Cardiac surgeons and cardiologists who work in tandem to provide comprehensive, multidisciplinary care to patients suffering from heart ailments.
MedWorld India Affiliated Best Heart Hospitals in India offer: - The ultimate destination for international patients who want World Best, Affordable Heart Surgery
- Latest and best available techniques globally like Robotic Heart Surgery, Minimally Invasive Valve & coronary Heart Bypass Surgery, Primary and complex Coronary Angioplasties and Stenting. Percutaneous Valvular interventions including aortic valve replacement need a special mention..
- Many of the world's finest heart hospitals are located in India with 98-99 % success rate for most procedures.
- Cost of Surgery just 1/6th of cost in USA, UK or Europe with finest quality implants, prosthesis and consumables imported from Leading International Companies.
- The highly trained team of Electrophysiologists have tremendous experience in doing all kind of radiofrequency ablations, device implantations, electrophysiology studies, and pacemaker and resynchronization therapy.
- Computer Navigation Surgery System for excellent outcomes and use of finest quality implants, prosthesis and consumables imported from Leading International Companies.
- Specialized Physiotherapy and Rehabilitation services for quick rehabilitation after cardiac surgery in India.
- India’s leading hospital for children’s heart surgeries performs almost 3 times as many surgeries as Children’s Hospital, Boston, the leading children’s hospital in the USA
India offers great value proposition to patients looking for affordable Heart surgery or Cardiac surgery abroad as not only the cost of valve replacement in India is very low, the facilities and infrastructure is most modern and is counted among the best heart hospitals in the world. Cardiac surgeons now use most advanced minimally invasive heart valve replacement or repair surgery techniques for eligible patients.
Please scan and email your medical reports to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.
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