Excellence in Cardiac and Vascular Health
Medwin Heart Care Clinic provides the best interventional treatment of heart valve disease in Navi Mumbai. Few of the Heart valve diseases require careful medical supervision. Regardless, our primary treatment options may include medication or interventional surgery to repair or replace the valve. Specific interventional treatments will be determined by our cardiologist in Navi Mumbai, Dr Rishi Bhargava, based on risk factors and symptoms. He may suggest treatment depending on the type of heart valve disease, and may include one of the following:
1) Balloon Procedure
The balloon valvuloplasty is a minimally invasive interventional procedure to open a narrowed heart valve. Due to narrowing of heart valves (valve stenosis) can restrict the flow of blood and can cause symptoms such as chest pain or shortness of breath. Treatment usually involves catheters inserted through the femoral arteries and veins that serve as pathways to the heart. A balloon catheter is inserted into the heart and guided to the narrowed valve. The balloon of the catheter is then inflated and expanded to open the valve and separate the leaflets. Once the cardiologist believes the valve is properly repaired, the balloon and catheters are removed and closes the insertion site with small stitches.
Who needs balloon valvuloplasty procedure
Balloon valvuloplasty may be recommended to treat these types of heart valve disease:
- Mitral valve stenosis
- Tricuspid valve stenosis
- Tricuspid valve stenosis
What are the benefits of balloon procedure?
Balloon Valvuloplasty increases flow of the blood and helps the heart work more efficiently. This procedure can help avoid valve replacement. The benefits of this minimally invasive heart treatments can include:
- Faster recovery
- Faster recovery
- Lower risk of complications
- Reduced pain
2) Transcatheter Aortic Valve Replacement(TAVR)
The transcatheter aortic valve replacement procedure helps to change a defective aortic valve with an artificial valve in the heart. It is a minimally invasive treatment. The valves help blood flow through the heart chambers and circulate throughout your body normally. This surgery is called “minimally invasive” because rather than a traditional open repair surgery, it uses a smaller incision. This causes lesser discomfort and faster recovery from the procedure. With this approach, our team at Medwin Heart Care Clinic will review all of your options with you along with their associated risks and benefits.
Who needs a TAVR procedure ?
Valve procedure may be needed, if your aortic valve is functioning poorly. This may happen if you have:
- Aortic stenosis, the valve is unable to open completely. This means less blood flows out from
the heart. - Aortic regurgitation, the valve is leaky. Some blood leaks back inside through the valve
instead of flowing out to the rest of the body.
What are the warning signs of poorly working aortic valve ?
- Fatigue
- Swelling in your legs
- Dizziness and fatigue
- Shortness of breath
- Chest pain
- Passing out
- An unpleasant awareness of your heartbeat
How is TAVR Performed?
At the beginning of the TAVR procedure, our doctor will make a small incision in one of three typically used access routes – in the groin, the neck, or a space between your ribs. The doctor inserts a thin, flexible tube (catheter) with the heart valve into the artery and the diseased valve. During the procedure, the doctor will see images of your heart. A transcatheter mitral valve (TAVR) will be placed in the affected aortic valve. Your new valve will work immediately. The doctor then removes the tube and stitch the cut. Our team will precisely monitor your vital signs during the TAVR procedure, including heart rate and rhythm, blood pressure, and breathing.
What are the benefits of TAVR procedure ?
Balloon Procedure can ease your symptoms, improve your life expectancy and help live a normal life. The benefits of minimally invasive valve procedure include:
- Lower risk of infection
- Less bleeding and trauma
- Shorter hospital stay
- Shorter recovery
3) Transcatheter Mitral Valve Replacement (TMVR)
Transcatheter mitral valve replacement (TMVR) is an invasive procedure that uses a catheter-based approach to treat high-risk patients whose mitral valve (original valve or prosthesis) has been damaged and who are too weak to undergo to open heart valve surgery. Patients diagnosed with mitral valve stenosis or mitral valve regurgitation receive this treatment. Our heart specialist in Kharghar performs a percutaneous (through the skin) procedure using the MitraClip system for patients with moderately severe to severe mitral regurgitation who may be at high risk for standard open-heart surgery. Our heart specialist in Kharghar performs a percutaneous (through the skin) procedure using the MitraClip system (TMVR) for patients with moderately severe to severe mitral regurgitation who may be at high risk for standard open-heart surgery.
How is TMVR Performed?
During the TMVR procedure, our care team
- Makes a small incision in the femoral vein in the groin and inserts a guide wire and catheter (thin tube) towards the heart.
- The guide wire is then gradually moved into the left atrium (upper left chamber of the heart), by septal puncture
- Pass the clip through the catheter into the left atrium
- Open the clamp arms and place them on the valve plates
- Bring your arms together and pinch the centre folds together to create two smaller channels to prevent recoil
- Leave the clip in place and remove the catheter
The patient needs to stay at home for one to two days after the procedure and will likely feel much better immediately after.
TAVR patients mostly report benefits like:
Who needs a TMVR procedure?
TMVR procedure is used to treat two types of mitral regurgitation (backward leakage of blood):
- Degenerative regurgitation
- Functional regurgitation
Who needs a TMVR procedure?
- Feeling more energised
- Normal Breathing
- Experiencing less pain
- Feeling less anxious
- Experiencing fewer symptoms