Who Can Benefit from Valve In Valve TAVR?

Valve In Valve TAVR is ideally suited for patients who:

• Have Previously Undergone Aortic Valve Replacement:
  Individuals whose prosthetic valves are now showing signs of deterioration or dysfunction.

• Are Experiencing Valve Dysfunction:
  Patients with symptoms such as shortness of breath, fatigue, or reduced exercise capacity due to compromised valve function.

• Are at High Risk for Reoperation:
  Patients considered high-risk for traditional open-heart surgery owing to factors such as age, comorbidities, or prior surgeries.

A detailed evaluation by our cardiac specialists is essential to determine if you are an ideal candidate for this procedure.

 

The Procedure: Step-by-Step Overview

Pre-Procedure Preparation

• Comprehensive Evaluation:
  Prior to the procedure, patients undergo thorough testing including echocardiograms, CT scans, and blood tests. These evaluations help assess the condition of the current valve and overall heart health.

• Consultation:
  A multidisciplinary consultation with cardiologists, cardiac surgeons, and anesthesiologists ensures that all aspects of your care are discussed and that you feel fully informed about the procedure.

Anesthesia and Access Preparation

• Anesthesia Administration:
  On the day of the procedure, you will receive either local anesthesia with sedation or general anesthesia, depending on your individual needs, to ensure complete comfort throughout the process.

• Access Point Preparation:
  The optimal access site—typically the femoral artery in the groin—is carefully selected, sterilized, and numbed to minimize any discomfort and reduce infection risk.

Catheter Insertion and Valve Deployment

• Catheter Navigation:
  Using advanced imaging guidance (such as fluoroscopy or echocardiography), a catheter is inserted through the prepared access site and carefully navigated through the blood vessels to reach the heart.

• Valve Deployment:
  The new valve is delivered via the catheter. Once positioned within the failing prosthetic valve, it is expanded (often with the aid of a balloon) to securely displace the old valve and ensure proper seating and function. The inflation process ensures that the new valve fits precisely, restoring effective blood flow.

• Final Verification:
  After deployment, additional imaging tests such as echocardiograms are performed to confirm the correct positioning and functionality of the new valve. Following verification, the catheter is removed and the access site closed using sutures or a specialized closure device.

Post-Procedure Care and Recovery

• Immediate Recovery:
  Post-procedure, you will be moved to a recovery area for close monitoring by our healthcare team. A brief hospital stay (typically 1-2 days) allows us to ensure your stability and address any immediate concerns.

• Ongoing Care:
  Detailed post-procedure instructions, including pain management and activity guidelines, are provided to support a smooth recovery. Follow-up appointments are arranged to continuously monitor your heart function and long-term outcomes.

 

Advantages of Valve In Valve TAVR

• Minimally Invasive:
  Small incisions reduce surgical trauma, leading to quicker recovery and less post-operative pain.

• High Success Rates:
  The procedure offers a durable and effective solution for valve dysfunction, with excellent outcomes demonstrated in numerous cases.

• Reduced Risk:
  Compared to conventional open-heart surgery, Valve In Valve TAVR has a lower risk profile, particularly for high-risk patients.

• Enhanced Quality of Life:
  Many patients experience significant relief from symptoms and an overall improvement in heart function following the procedure.

 

Risks and Considerations

While Valve In Valve TAVR is generally safe and minimally invasive, it carries some potential risks, including:

• Bleeding or Infection:
  As with any invasive procedure, there is a risk of bleeding or infection at the access site.

• Irregular Heart Rhythms:
  Some patients may experience arrhythmias after the procedure.

• Valve-Related Complications:
  In rare cases, the new valve may not function optimally, which could require further intervention.

Our team will discuss these risks in detail to help you make an informed decision about your treatment options.

 

Our Clinic’s Approach at Mahadev Heart Care

At Mahadev Heart Care, Bangalore, we specialize in advanced cardiac interventions, including Valve In Valve TAVR. We are committed to:

• Expertise:
  Providing personalized, state-of-the-art care with a team of experienced cardiologists and cardiovascular surgeons.

• Technology:
  Utilizing the latest imaging and surgical technologies to ensure precise and effective treatments.

• Patient-Centered Care:
  Delivering comprehensive support from initial consultation through long-term follow-up, ensuring that you feel cared for at every stage of your treatment journey.

 

Valve In Valve TAVR represents a significant advancement in cardiac care, offering a safer, less invasive alternative for patients experiencing complications with prior aortic valve replacements. If you or a loved one are facing challenges with an existing valve, our expert team at Mahadev Heart Care, Bangalore, is here to provide the most advanced treatment options and compassionate care.

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For further details or to schedule a consultation, please contact our office. We are dedicated to restoring your heart health and improving your quality of life.