A Comprehensive Guide to Mitral Valve Replacement in India
15 Jun, 2024
Dr. Divya NagpalCurious about mitral valve replacement and its life-changing benefits? Wondering how this advanced cardiac surgery is performed in India's renowned hospitals? Join us as we demystify mitral valve replacement: from understanding the need for surgery to exploring the latest minimally invasive techniques offered in India. Whether you're facing heart valve disease or seeking information for a loved one, our comprehensive guide will navigate you through the entire process. Discover how top-notch medical expertise and cutting-edge technology converge to ensure optimal outcomes and improved quality of life. Let's uncover everything you need to know about mitral valve replacement in India.
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Mitral Valve Replacement Procedure
1. Preoperative Preparation:
Before the surgery, the patient undergoes a thorough medical evaluation, including imaging tests like echocardiography, to assess the condition of the mitral valve and overall heart function. Blood tests are conducted to ensure the patient's readiness for surgery. An anesthesiologist evaluates the patient for anaesthesia considerations.
2. Surgical Procedure:
b. Incision: The surgeon makes an incision in the chest, usually along the sternum (median sternotomy), to access the heart. In some cases, minimally invasive techniques may be employed, involving smaller incisions on the side of the chest (mini-thoracotomy).
c. Cardiopulmonary Bypass: The patient is connected to a heart-lung bypass machine, which temporarily takes over the function of the heart and lungs. This allows the surgeon to stop the heart and perform the surgery in a bloodless and motionless environment.
d. Removal of the Damaged Valve: Once the heart is stopped and blood flow is diverted to the bypass machine, the surgeon removes the damaged mitral valve. The valve may be calcified, thickened, or prolapsed due to conditions like mitral valve regurgitation or stenosis.
e. Valve Replacement: The surgeon selects an appropriate replacement valve based on the patient's condition and health factors. Options include mechanical valves (made of durable materials like titanium or carbon), which require lifelong anticoagulant therapy, or bioprosthetic valves (made from animal or human tissue), which may not require long-term anticoagulation.
f. Suturing of the New Valve: The new valve is securely stitched into place in the annulus (the ring-like structure surrounding the valve) using fine, strong sutures. The surgeon ensures proper alignment and function of the valve to optimize blood flow through the heart.
2. Postoperative Care and Recovery:
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b. Monitoring and Rehabilitation: The patient is closely monitored in the intensive care unit (ICU) initially and then in a regular hospital room. Recovery involves pain management, physical therapy, and gradual resumption of normal activities.
c. Long-Term Follow-Up: Long-term follow-up includes monitoring the function of the new valve and managing any complications or medications as needed. Compliance with medications and regular follow-up appointments are crucial for long-term success and optimal heart health.
Best Hospitals for Mitral Valve Replacement in India
India is home to some of the finest hospitals known for their expertise in cardiac surgeries, including mitral valve replacement. These hospitals are equipped with state-of-the-art facilities and highly skilled medical professionals. Some of the top hospitals include:
1. Apollo Hospitals, Chennai
Apollo Hospitals on Greams Road in Chennai was established in 1983 by Dr Prathap C Reddy. It was India's first corporate hospital and is acclaimed for pioneering the private healthcare revolution in the country. Over the years, Apollo Hospitals has risen to a position of leadership, emerging as Asia's foremost integrated healthcare services provider.
Location
- Address: 21 Greams Lane, Off Greams Road, Thousand Lights, Chennai, Tamil Nadu 600006, India
- City: Chennai
- Country: India
Hospital Features
- Established Year: 1983
- Treatment Availability: International
- Hospital Category: Medical
- Status: Active
- Visibility on Website: Yes
About Apollo Hospitals
Apollo Hospitals has a robust presence across the healthcare ecosystem, including hospitals, pharmacies, primary care, and diagnostic clinics. The Group also has telemedicine units across 10 countries, health insurance services, global projects consultancy, medical colleges, Med-varsity for e-learning, colleges of nursing, and hospital management.
Team and Specialties
- Cardiology and Cardiothoracic Surgery: Apollo Hospitals hosts one of the largest cardiovascular groups globally, with around 14 world-class institutes, over 400 cardiologists & cardiac surgeons, and 200 heart stations.
- Robotic Spinal Surgery: Among the few centres in Asia to perform this advanced procedure, Apollo is at the forefront of spinal disorder management.
- Cancer Care: A 300-bedded, NABH-accredited hospital providing advanced technology in diagnosis and radiation, supported by an oncology team of renowned specialists and well-trained medical and paramedical professionals.
- Gastroenterology: Offers the latest endoscopic procedures for gastrointestinal bleeding, cancers, foreign body removal, etc.
- Transplant Institutes: The Apollo Transplant Institutes (ATI) is one of the largest, most comprehensive, and busiest solid transplant programs globally.
- Liver Surgery: Equipped with a 320-slice CT scanner, a state-of-the-art Liver Intensive Care Unit & Operation Theatre, and various surgical tools to enable safe & bloodless liver surgery.
- Neurosurgery: Recognized as a leader in acute neurosurgery, Apollo Hospitals, Chennai, is among the top hospitals specializing in neuro care worldwide.
Infrastructure
With the experience of over one million health checks, Apollo Hospitals has emerged as a key player in the corporate healthcare sector. Over 500 leading corporates, across all industry segments, have tied up with Apollo Hospitals, providing their employees ready access to sophisticated medical facilities at over 64 locations in India. The corporate services initiative of Apollo Hospitals, Chennai, aims to provide world-standard healthcare within the reach of every individual.
2. Fortis Memorial Research Institute (FMRI), Gurugram
Fortis Memorial Research Institute (FMRI) in Gurgaon is a premier multi-super specialty, quaternary care hospital. Known for its international faculty and reputed clinicians, including super-sub-specialists and speciality nurses, FMRI is supported by cutting-edge technology. The hospital aims to be the 'Mecca of Healthcare' for the Asia Pacific region and beyond.
Location
- Address: Sector - 44, Opposite HUDA City Centre, Gurgaon, Haryana - 122002, India
- City: Gurgaon
- Country: India
Hospital Features
- Established Year: 2001
- Number of Beds: 1000
- Number of ICU Beds: 81
- Operation Theaters: 15
- Hospital Category: Medical
- Treatment Availability: International
- Status: Active
- Visibility on Website: Yes
Specialties
FMRI excels in several medical specialities, including:
- Neurosciences
- Oncology
- Renal Sciences
- Orthopedics
- Cardiac Sciences
- Obstetrics and Gynecology
These specialities leverage advanced technology and top clinicians to deliver exceptional healthcare services.
Team and Expertise
- International Recognition: FMRI has been ranked No.2 of the 30 most technologically advanced hospitals in the world by ‘topmastersinhealthcare.com,’ surpassing many other outstanding medical institutions globally.
- Patient Care: Fortis hospitals treat over 3.5 lakh patients annually, relying on reputed clinicians, state-of-the-art infrastructure, and world-class technology such as the Da Vinci robot, ensuring patients go home healthy.
- Innovative Initiatives: FMRI's initiatives range from customized preventive health checks to quaternary care provided by super-specialized clinicians conducting rare and complex surgeries.
About Fortis Healthcare
FMRI is a flagship hospital of Fortis Healthcare, one of the top healthcare providers in India. Fortis Healthcare is known for its commitment to quality healthcare and patient safety, making FMRI one of the most sought-after medical destinations in the region.
3. Indraprastha Apollo Hospital, New Delhi
- Address: Indraprastha Apollo Hospitals, Sarita Vihar, Delhi-Mathura Road, New Delhi - 110076, India
- Country: India
- Treatment Availability: Both (Domestic & International)
- Hospital Category: Medical
About Hospital:
- Indraprastha Apollo Hospitals, New Delhi, is a multi-speciality tertiary acute care hospital with 710 beds, making it one of the most sought-after destinations in Asia for healthcare.
- It is a state-of-the-art modern facility in the heart of the capital, spread over 15 acres with a built-up area of over 600,000 square feet.
- This flagship hospital of the Apollo Hospitals Group epitomizes the clinical excellence that the Apollo Group stands for, aiming for the best clinical outcomes for patients.
- The hospital achieves the best clinical outcomes for the most complex diseases with the best staff supported by the latest technology and standardized processes.
- Indraprastha Apollo Hospitals engages the best consultants through a rigorous credentialing and privileging process, supported by top healthcare staff.
- Regular training programs, conferences, and continuing medical education programs keep the staff abreast of the latest developments in their fields.
- The hospital is equipped with the latest and best-in-class medical technologies such as PET-MR, PET-CT, Da Vinci Robotic Surgery System, Brainlab Navigation System, Portable CT Scanner, NovalisTx, Tilting MRI, Cobalt-based HDR Brachytherapy, DSA Lab, Hyperbaric Chamber, Fibroscan, Endosonography, 3 Tesla MRI, and 128 Slice CT scanner to provide world-class care.
- Indraprastha Apollo Hospitals was the first hospital in India to be JCI accredited in 2005 and was the first to be reaccredited in 2008 and 2011. It also has NABL-accredited clinical laboratories and a state-of-the-art blood bank.
Team and Speciality:
- The hospital has a team of the best consultants supported by top healthcare staff, engaging in regular training and continuous education.
Infrastructure:
- Established in 1996
- Number of Beds: 1000
- State-of-the-art facilities with the latest medical technologies.
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Top Mitral Valve Replacement Surgeons in India
India boasts a pool of highly experienced cardiac surgeons who are renowned for their expertise in mitral valve replacement. Some of the top surgeons include:
1. Dr. Naresh Trehan,
Gender: Male
Designation: Chairman and Managing Director - Medanta Heart Institute
Country: India
Experience
- Chairman and Managing Director at Medanta - The Medicity: 2009 - Present
- Senior Consultant, Cardio Vascular Surgery at Apollo Hospitals, Sarita Vihar: 2007 - 2009
- Executive Director and Chief Cardiothoracic and Vascular Surgeon at Escorts Heart Institute and Research Institute: 1988 - 2007
- Personal Surgeon at The President of India: 1991 - Present
- Honorary Consultant at Cromwell Hospital, London, UK: 1994 - Present
Education
- Diplomate - The American Board of Cardiothoracic Surgery, USA: 1979
- Diplomate - The American Board of Surgery, USA: 1977
- M.B.B.S. - K.G. Medical College Lucknow: 1968
About
- Dr. Naresh Trehan serves as the Chairman and Managing Director of Medanta - The Medicity, Gurugram, where he is a world-renowned cardiovascular and cardiothoracic surgeon.
- Awarded the highly prestigious Padma Bhushan and the Padma Shri by the Government of India, Dr Trehan has an illustrious career with over 48,000 successful open heart surgeries to his credit.
- He holds Diplomate status from The American Board of Cardiothoracic Surgery (USA) in 1979, Diplomate from The American Board of Surgery (USA) in 1977, and completed his M.B.B.S. from K.G. Medical College Lucknow in 1968.
- Dr. Trehan specializes in Cardiothoracic Surgery, Cardiovascular Surgery, Minimally Invasive Cardiac Surgery, and Heart Transplant.
- With a vast experience spanning several decades, he has held key positions such as Senior Consultant at Apollo Hospitals, Sarita Vihar, Executive Director and Chief Cardiothoracic and Vascular Surgeon at Escorts Heart Institute and Research Institute, and Personal Surgeon to The President of India.
- Dr. Trehan has received numerous awards, including the Dr. B. C. Roy National Award (2005), Padma Bhushan (2001), Padma Shri (1991), and many more.
- His memberships and certifications include being the Ex-President of the International Society for Minimally Invasive Cardiac Surgery, a member of the Society of Thoracic Surgeons of the U.S.A., and various roles in national and international healthcare organizations.
- Dr Trehan is actively involved in advisory roles, serving as the Vice Chairman of the Services Export Promotion Council, Chairman of the Confederation of Indian Industries-Healthcare Industry Committee, and contributing to the Ministry of Health and Family Welfare, Government of India, among others.
Awards
- Padma Bhushan Award by President of India: 2001 - In recognition of distinguished service in the field of Cardiology Medicine.
- Padma Shri Award by President of India: 1991 - In recognition of distinguished service in the field of Surgery.
- Dr. B. C. Roy Award from the Medical Council of India: 2002
- Ranked #35th in India's 50 Most Powerful People of 2017 by India Today magazine
Surgeries
- No. of Surgeries: 48,000
- Experience Years: 43
Mitral Valve Replacement Cost in India
The cost of mitral valve replacement in India can vary depending on several factors but generally falls within the range of roughly $3,600 to $9,600 USD. Here's a breakdown of some of the factors affecting the cost:
- Hospital and surgeon's fees: Costs can vary depending on the reputation and location of the hospital, as well as the experience of the surgeon.
- Type of valve replacement: Different types of valves (mechanical vs. tissue) have varying costs.
- Pre- and post-operative care: This includes tests, medications, and the length of hospital stay.
- City and state: Costs can be higher in metro cities compared to smaller towns.
Mitral Valve Replacement Success Rate in India
Mitral valve replacement surgery in India has a generally high success rate. Success rates can vary depending on the severity of the condition and other patient-specific factors, but most hospitals report success rates exceeding 90%.
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