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Heart Valve Replacement Surgery in India

Heart Valve Replacement is carried out by Cardiologist. Get detailed information about Heart surgery in India. Find the list of Heart surgery hospitals in India at HMSDESK to book an appointment.

Heart Valve Disease

Heart valve surgery is a procedure that is needed when a patient has a heart valve disease. The heart has four valves: mitral, tricuspid, pulmonary and aortic. These valves have flaps that open and close up once every heartbeat, which allows the proper flow of blood throughout the heart. The flaps of the mitral and tricuspid valve are called leaflets and the flaps of the pulmonary and aortic valve are called cusps. When these flaps fail to open properly, there is improper blood flow through the valves, and hence leads to a heart valve disease.

In a heart valve surgery, the surgeon repairs or replaces the damaged valve, to ensure that the blood flows through the heart in the proper way. Mostly, a heart valve replacement surgery is an open-heart surgery type, but many minimally invasive methods have been formulated to reduce the risks of an open-heart surgery.

When The Surgery Is Needed?

  • In case of a damaged heart valve.
  • Stenosis or thinning of the blood vessels of the heart, which would lead to improper blood flow.
  • In case of a leaky valve. In such a situation, when the flap of the valve will open for the blood to flow and is supposed to close completely, it might remain open slightly, which would lead to backwards flow of the blood. This is called as regurgitation.
Heart Valve replacement surgery in India
Heart Valve replacement surgery cost in India

Symptoms

  • Chest pain
  • Palpitations
  • Difficulty in breathing or shortness of breath
  • Weakness or fatigue
  • Faint headedness
  • Swelling in the feet or arms, due to oedema.
  • Difficulty in performing daily activities due to tiredness

Types of Heart Valve Replacement Surgery

Aortic Valve Replacement

Aortic valve is placed on the left side of the heart. The aortic valve lets the blood flow out of the heart from the left ventricle. It is the main pumping compartment of the heart. If the flap of the aortic valve gets damaged, the blood could flow back to the left ventricle, called as regurgitation. The damage could be because of congenital disorders or other reasons. The aortic valve is replaced in this surgery.

Mitral Valve Replacement

The mitral valve is placed on the left side of the heart. It lets the blood flow into the left atrium, so that it can flow into the left ventricle then. If the bicuspid valve is damaged, the blood would flow out of the heart and into the lung, which would put unnecessary pressure on the lungs. Again, the damage could be because of congenital disorders or other reasons. The mitral valve is replaced in this surgery.

Pulmonary Valve Replacement

Pulmonary valve separates the pulmonary artery and the right ventricle. The pulmonary valve allows the blood to flow from the heart to the lungs through the pulmonary artery. Due to stenosis, there would be restricted blood flow, and hence the pulmonary valve is then replaced in the surgery.

Double Valve Replacement

In this surgery, both the mitral and aortic valve are replaced or the entire left side of the heart is replaced. This is the rarest surgery out of all the replacement surgeries mentioned above.

Types of Replacement Valves

There are two types of valve that can be used:

Mechanical valves

Biologic valves

Mechanical valves are created out of carbon or polyester material which the body does not react to. A mechanical valve can last for 10-20 years post the surgery. The disadvantage of a mechanical valve is that it forms blood clots due to which the patient will have to be on blood thinners their whole lifetime.

Biologic valves are valves made put of either the heart muscle of the patient known as allograft or porcine valve which is taken from a pig or a bovine valve which is taken from a cow. The advantage that biologic valves have over mechanical vales is that they do not have a tendency to form blood clots hence there is no need of taking blood thinners. But biologic valves do not last as long as mechanical valves, hence there is a need for another replacement surgery sooner.

Diagnosis

  • Before any of the major tests, a physical examination is conducted where in the doctor would check if there is a heart murmur caused by the heart valve disease with the help of a stethoscope.
  • ECG or echocardiography is a test conducted to get a moving picture view of the heart while it beats with a device called as transducer.
  • EKG or electrocardiography is a test that helps in recording the electric activity of the heart. It will help in noticing if there is an irregular heart beat or rhythm.
  • Chest X-ray will help the doctor in understanding which valve of the heart is damaged and whether there is fluid retention in the lungs.
  • Stress test is conducted by asking the patient to run on a treadmill or do some other activity and checking the heart rhythm and rate of the heart.
  • Cardiac Catheterization is a test in which a thin tube called as a catheter is passed through a blood vessel in the patient’s arm and is guided to the heart with the help of an imaging device. This will help the doctor to find out which valve is defective and where is the backflow of blood occurring from.
  • Cardiac MRI will give a detailed and precise image of the defective valve and this image will help find out more intricate details about the case.

Preparation

  • Update the doctor about the medical history. The doctor would recommend which medication has to be stopped before the surgery and which other medication is to be taken for the surgery.
  • Get a dental examination done, so that if there is an infection, it can be treated. A dental infection can interfere with the surgery.
  • In case of exercise, consult with the doctor to understand how much of exercise is safe with such a heart condition.
  • Maintain a healthy diet. In case of doubts regarding the diet, consult the recommended doctor. Also, consult with the doctor regarding when to stop taking food or fluids orally before the night of the surgery.
  • Plan out a recovery plan or schedule. Find a dedicated person who will take care of everything after the surgery and also the drop back home.
Aortic valve repair and aortic valve replacement
aortic valve replacement surgery

Procedure of Heart Replacement Valves

  • The patient is put under general anaesthesia.
  • According to the surgery that has to be performed, an incision is made. In case of a traditional open-heart surgery approach, an incision is made at the breastbone and is 8 to 10 inches long. In case of a minimally invasive surgery, several small incisions are made, and with the help of long instruments or robotic surgery, the surgery is performed.
  • The surgeon would either repair your valve or replace it. Since, we’re talking about replacement, these are the steps that are followed.
  • The surgeon will remove the defected valve and replace it with either a mechanical valve or a biologic valve.
  • Once the replacement is done, the incision is sutured up.

After The Surgery

  • Immediately after the surgery, the patient is moved to the ICU. There the condition of the patient is monitored through external monitors that are attached to the patient. Fluids would be given to the patient intravenously. Also, other tubes would help the patient to urinate. Pain medications would be given to the patient intravenously.
  • After the initial observation in the ICU, the patient would be moved to the ward or their personal room.
  • The condition of the patient would be monitored for the next few days and also care would be taken of the incision site.
  • The doctors would recommend exercising like walking. The staff of the hospital would help with the patient with the exercises.
  • After the discharge, the doctor would give instructions of how to take care of the incision site, how much to exercise and the diet to be followed.

Recovery

  • The recovery of a patient depends on the age, health status and other factors.
  • The breastbone usually takes 6-8 weeks to completely heal.
  • But a patient would take at least 2-3 months to completely get back to feeling like their normal self.
  • Patient should follow the diet and exercise regime as recommended by the doctor.
  • Any work that requires exertion should be avoided for at least 6-8 weeks.

Risks

  • Bleeding during the surgery or after the surgery
  • Damage to a blood vessel
  • Heart attack or stroke due to formation of blood clots
  • Pneumonia
  • Infection at the site of incision
  • Infection of the new valve
  • Difficulty in breathing
  • Valve failure
  • Side effects to anaesthetics
  • Arrythmias

Heart Valve Replacement Cost in India

  • One can easily find low-cost Heart Valve Replacement in India as compared to other western countries.
  • Along with quality services and satisfaction for Heart Valve Replacement at affordable prices, most international patients prefer India.
  • The Heart Valve Replacement costs range from $4,000 to $7,000. It depends upon the complexity of the treatment and services facilities from the hospital.

Get details of the Heart Valve Replacement hospitals in India that offer higher success rates at affordable cost. The cost of Heart Valve Replacement varies widely. For surgery, it is necessary to choose the proper Cardiologist in India. HMSDESK helps patients seeking medical care and specialty treatments from the Best Cardiologist in India. Various hospitals and clinics in India have gained massive popularity all over the world. International patients preferred places for the surgery or treatment would be tier one, in developed cities like Bangalore, Chennai, Hyderabad, Kolkata, Mumbai, Delhi, Mangalore, Kochi, Jaipur, and Pune.

Types of Heart Replacement Valves
Heart Valve Replacement Surgery Recovery

Frequently Asked Questions about Heart Valve Disease Treatment

What are the types of replacement valves that are used?

There are two types of valve that can be used: Mechanical valves Biologic valves Mechanical valves are created out of carbon or polyester material which the body does not react to. A mechanical valve can last for 10-20 years post the surgery. The disadvantage of a mechanical valve is that it forms blood clots due to which the patient will have to be on blood thinners their whole lifetime. Biologic valves are valves made put of either the heart muscle of the patient known as allograft or porcine valve which is taken from a pig or a bovine valve which is taken from a cow. The advantage that biologic valves have over mechanical vales is that they do not have a tendency to form blood clots hence there is no need of taking blood thinners. But biologic valves do not last as long as mechanical valves, hence there is a need for another replacement surgery sooner.

What are the signs and symptoms of a heart valve disease?

  • Chest pain
  • Palpitations
  • Difficulty in breathing or shortness of breath
  • Weakness or fatigue
  • Faint headedness
  • Swelling in the feet or arms, due to oedema.
  • Difficulty in performing daily activities due to tiredness

What are the diagnostic tests that are needed for diagnosing a heart valve disease?

  • Before any of the major tests, a physical examination is conducted where in the doctor would check if there is a heart murmur caused by the heart valve disease with the help of a stethoscope.
  • ECG or echocardiography is a test conducted to get a moving picture view of the heart while it beats with a device called as transducer.
  • EKG or electrocardiography is a test that helps in recording the electric activity of the heart. It will help in noticing if there is an irregular heart beat or rhythm.
  • Chest X-ray will help the doctor in understanding which valve of the heart is damaged and whether there is fluid retention in the lungs.
  • Stress test is conducted by asking the patient to run on a treadmill or do some other activity and checking the heart rhythm and rate of the heart.
  • Cardiac Catheterization is a test in which a thin tube called as a catheter is passed through a blood vessel in the patient’s arm and is guided to the heart with the help of an imaging device. This will help the doctor to find out which valve is defective and where is the backflow of blood occurring from.
  • Cardiac MRI will give a detailed and precise image of the defective valve and this image will help find out more intricate details about the case.
  • How is life after it?

    Most valve replacement surgery tasks are useful. A valve fix may come up short in some uncommon cases, and another activity might be required. Patients with an organic valve may have to have the valve supplanted in 10 to 15 years. Mechanical valves may likewise fall flat, so patients should caution their PCP on the off chance that they have any valve disappointment indications. Patients with an automatic valve should take a blood-diminishing medication for the remainder of their lives. Since these medications increment the danger of seeping inside the body, you should consistently wear a clinical ready wristband and tell your primary care physician or dental specialist that you are taking a blood-diminishing medication.

    Whether you are not taking a blood-diminishing medication, it would help if you consistently told your primary care physician and dental specialist that you had had a valve medical procedure. If you have a careful or dental methodology, you should take an anti-microbial before the strategy. Microbes can enter the circulation system during these methods. On the off chance that microscopic organisms get into a fixed or counterfeit valve, it can prompt an actual condition called bacterial endocarditis. Anti-infection agents can forestall bacterial endocarditis.

    Patients with mechanical valves state they some of the time hear a calm clicking sound in their chest. This is only the sound of the new valve opening and shutting, and it is not something to be stressed over. Indeed, it is an indication that the new valve is working how it should.

    Should you consider valve repair or replacement?

    The choice of repairing or replacing a harmed valve relies upon numerous things, including:

    The seriousness of your valve illness

    Your age and by and large wellbeing

    Regardless of whether you need a heart medical procedure to address another heart issue notwithstanding valve illness, for example, the heart sidesteps a medical practice to treat coronary course sickness, so the two conditions can be treated on the double.

    All in all, the repair is generally the best option since it is related to a lower danger of disease, preserving valve strength and work, and diminishes the need to take blood-diminishing drugs for the remainder of your life, which might be important with particular kinds of valve substitution. For instance, individuals with an opening in the valve's conclusion folds (punctured valve flyer) might be the possibility for aortic valve fix instead of substitution, contingent upon the seriousness of their condition.

    Be that as it may, most valves can't be repaired, and this medical procedure is frequently harder to do than replacement. Your most ideal choice will rely upon your individual circumstance, just as the skill and experience of your medical services group.

    Why consider India for Heart Valve Disease Treatment?

    India is promising as one of the favorite destinations for Heart Valve Disease tourism in the world due to its affordability, accessibility, and much cheaper rates.

    For Surgery Some Countries From Which Patients Travel To India:

    Best Cardiac Hospital in India

    Hospitals in India offer State-of-the-art equipment and the latest technologies.

    • Fortis Hospital
    • Blk Super Speciality Hospital
    • Saifee Hospital
    • Jaslok Hospital
    • Global Hospital
    • Medanta Medicity Hospital
    • HCG Hospital
    • SIMS Hospital, Chennai
    • MIOT Hospital, Chennai
    • Artemis Hospital
    • Wockhardt Hospitals
    • Max Super Speciality Hospital
    • Bgs Gleneagles Global Hospital
    • Nanavati Super Speciality Hospital
    • Manipal Hospital
    • Apollo Hospital
    • S L Raheja Fortis Hospital
    • Asian Heart Hospital
    • Hiranandani Hospital
    • Apollo Hospitals
    • Narayana Hrudyalaya
    • Sakra World Hospital
    • BLK Super Speciality Hospital
    • Yashoda Cancer Institute, Hyderabad

    Best Cardiac Hospital in India

    • Dr. Pavan Kumar
    • Dr. Smruti Ranjan Mohanty
    • Dr. Pavan Kumar
    • Dr. Sandeep Honnekeri
    • Dr Surendra Nath Khanna
    • Dr. Shantesh Kaushiki
    • Dr. Anand Somaya
    • Dr. Ravi Bhatnagar
    • Dr. Sanjeev Y Vichare
    • Dr. Sandeep Honnekeri
    • Dr. Anil Tendolkar
    • r. Sanjeev Y Vichare
    • Dr. Shantesh Kaushik
    • Dr. Anand Somaya
    • Dr. Ravi Bhatnagar
    • Dr Bhupesh D Shah
    • Dr.K.M. Cherianr
    • Dr Baldev Singh Sekhon
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