Transcatheter Mitral Valve Replacement (TMVR) in India: A Minimally Invasive Alternative by Dr. Mahadev Swamy, Mahadev Heart Care, Bangalore. The heart plays a vital role in maintaining the rhythm of life—much like the brain regulates bodily functions, the heart ensures a continuous flow of blood, oxygen, and nutrients to all parts of the body. One key component of this function lies in its valves, which help regulate blood flow. When any of these valves fail to function properly, it can significantly impact overall health.

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One such important valve is the mitral valve, which allows blood to flow between the left atrium and left ventricle of the heart. Conditions that affect the mitral valve’s function can lead to serious complications. Transcatheter Mitral Valve Replacement (TMVR) offers a less invasive treatment option for patients who are not eligible for traditional open-heart surgery.

What Is TMVR?

TMVR (Transcatheter Mitral Valve Replacement) is a cutting-edge, non-surgical procedure used to replace a dysfunctional or leaking mitral valve, especially in patients who have previously undergone mitral valve surgery and now suffer from a failed or degenerated valve.

Two common conditions that may require TMVR include:

• Mitral Valve Regurgitation – Occurs when the valve doesn’t close tightly, causing blood to flow backward into the heart.

• Mitral Valve Stenosis – Happens when the valve becomes narrowed, making it harder for blood to flow through and requiring the heart to work harder.

Other causes of mitral valve dysfunction may include aging, infections, rheumatic fever, or prior heart attacks.

 

Who Is a Candidate for TMVR?

TMVR is generally recommended for patients:

• With a history of mitral valve surgery where the valve has deteriorated.

• Who are not eligible for repeat open-heart surgery due to high risk or other health complications.

• Whose mitral valve function has worsened over time.

 

How Is TMVR Performed?

The TMVR procedure is a highly specialized process that involves collaboration among a team of experts including interventional cardiologists, cardiac imaging specialists, and anesthesiologists.

1. A catheter is inserted through a vein in the groin.

2. Using advanced imaging, the catheter is guided to the heart.

3. The replacement valve is then delivered through the catheter and carefully positioned within the existing mitral valve.

4. Once in place, the new valve is expanded and secured.

5. The catheter is then removed, completing the procedure.

Throughout the procedure, the patient is kept under continuous sedation, ensuring comfort and safety.

 

Benefits of TMVR

TMVR offers several advantages over traditional open-heart surgery:

• Minimally invasive – No large incisions or sternotomy.

• Reduced pain and discomfort post-procedure.

• Faster recovery, typically within a few days.

• Lower risk of complications like infections or excessive bleeding.

• Shorter hospital stay, often 5-7 days.

• Early return to normal activities like walking and stair climbing.

• Effective results seen immediately after the procedure.

 

TMVR Cost in India

At Mahadev Heart Care, Bangalore, the cost of TMVR typically ranges between ₹43 to ₹45 lakhs. This includes pre-operative evaluations, the procedure itself, hospital stay, and post-operative care. The procedure is done under the guidance of Dr. Mahadev Swamy, a highly skilled and experienced cardiologist specializing in advanced valve therapies.

 

Life After TMVR

Post-TMVR recovery is quicker compared to traditional surgeries. However, patients are encouraged to adopt heart-healthy lifestyle changes, such as:

• Engaging in light physical activity.

• Following a balanced diet.

• Enrolling in cardiac rehabilitation programs to strengthen the heart.

With the right support, patients can expect to return to their daily routines with renewed energy and improved heart function.

 

Consult Dr. Mahadev Swamy at Mahadev Heart Care, Bangalore

If you or a loved one is facing mitral valve issues and may not be a candidate for open-heart surgery, Transcatheter Mitral Valve Replacement (TMVR) could be a life-saving alternative.

Book a consultation with Dr. Mahadev Swamy, one of Bangalore’s leading heart specialists, to learn more about TMVR, its benefits, and whether it’s right for you.