Mitral Valve Replacement Surgery in India

When is Mitral Valve Replacement required?

If a person is suffering from mitral valve regurgitation or mitral valve stenosis, then to repair the defect, mitral valve replacement surgery is recommended.  Depending upon the severity of mitral valve regurgitation or stenosis, surgery is recommended to replace or repair the valve by the cardiac surgeon. After the defect is repaired and a new artificial valve is fitted in, then the normal blood flow is facilitated which ensures a better quality of life.

Different methods to perform Mitral Valve Replacement

The different methods for replacing a defective mitral valve are as follows:

  • Open heart surgery- This procedure involves more risks as the heart is cut opened and the patient is placed on a heart-lung machine to regulate the blood flow for a temporary period.
  • Minimally invasive technique- The pain, blood loss and chances of infection associated with this method is comparatively much lesser. A speedy recovery is often seen in patients. However, some patients depending on the situation of the defect might need a conventional surgery.
  • The surgery can also be done through a groin artery from where a catheter is send upto the chest with a balloon attached at its end. No incision is required in this case, as the balloon inflates keeping the valves open. This method is termed as the percutaneous valvuloplasty and is conducted in patients having blocked mitral valves.

Depending upon the acuteness of the condition, the doctor might even think of repairing the affected valve in the following ways:

  • Ring annuloplasty –The ring at the end of the valve gets tightened by the surgeon with a ring of metal or a cloth.
  • Valve repair – The surgeon might accordingly study the condition of the patient’s valve and then decide to shape or rebuild one or both of the flaps that helps in opening or closing of the valve.

How it is done?    

  • The commonly practiced method of valve replacement is the open heart surgery process. A large incision is made in the chest and the patient is placed on a heart lung machine( cardiopulmonary bypass) during the operation for circulating blood outside of the body and oxygenating it. The heart is cooled or the heartbeat is slowed to prevent it from further damage during the surgery. An artificial mitral valve is then placed in that place of the defected natural one.
  • If the minimally invasive procedure is used, then an incision is made in the right part of the sternum. The muscles in this area gets divided which allows the surgeon to reach the affected region of the heart and either repair or replace the mitral valve.
  • The surgery can also be done through a groin artery from where a catheter is send upto the chest with a balloon attached at its end. No incision is required in this case, as the balloon inflates keeping the valves open. This method is termed as the percutaneous valvuloplasty and is conducted in patients having blocked mitral valves.

Implants used in Mitral Valve Replacement

There are two prevalent types of implants used for Mitral valve replacement.

  • One being the mechanical valve composed of man-made materials, like carbon and titanium. They are long lasting, however the patient might be prescribed blood thinning medications once treated with this valve
  • Secondly, there is the biological or Bioprosthetic valve made of animal or human tissue. These valves have a life expectancy of about 10-15 years and the patient might not be taking any blood thinning medicines in this case.

Precautions / Points to remember

Certain remedial issues should be kept in mind during the recovery span. They are the following:

  • Eating healthy food, not smoking and taking in the prescribed dosage of medicine regularly.
  • Getting light exercise and reducing stress.
  • One must keep a watch for blood clots and infections after the surgery.
  • After the surgery, occurrences of neuropsychological and psychopathological alterations like depression, anxiety, sleep irregularities are common.

Success rate of the Mitral Valve Replacement surgery

A short recovery time is required for the valve replacement surgery which might involve an initial stay in an intensive care unit (ICU) of the hospital. A complete recovery takes months as the incision needs to heal completely if an open heart surgery has been done. For 4 to 6 weeks after the surgery, mere chest pain or discomfort might prevail and there might be soreness in the area of cut also. Normal physical activities follow after this initial period of rest but too much of strain on the body is not advisable.

Bleeding and infection might occur during the post operative period. However, the chances of death are rare and is likely about 3% to 9%. The span of recovery also depends upon the age and the severity of the condition in the patient.

Valve replacement cost in India?      

Valve replacement or repair surgeries in India come at a much lower rate compared to other western countries. Patients from all across the globe are aware of the high quality treatment rendered out to cardiac patients in India. Thus, it strongly emphasizes on the aspect that quality does not gets compromised with low cost budget. Heart valve replacement price in India ranges between $5000 to $11,242.

Top Indian hospitals for Mitral Valve Replacement

India is dotted with medical units that provide effective cardiac treatment. Modern surgical facilities and affordable costs make India a leading country in the treatment of heart disorders. The well known hospitals for mitral valve replacement surgery are:

  • Primus Super Speciality Hospital, New Delhi
  • Fortis Hospital (Mumbai, Bangalore, Mohali)
  • Fortis Escorts Heart Institute, Delhi
  • Sarvodaya Hospital and Research Centre, Faridabad
  • Asian Heart Institute, Mumbai
  • Apollo Hospital, Indraprastha, Delhi
  • Kokilaben Dhirubhai Ambani Hospital, Mumbai
  • Wockhardt Hospital, Mumbai

Best Valve Replacement surgeons in India

India houses the most experienced and skilled cardiac surgeons who deal with various degrees of heart complexities. A history of successful valve repair surgery has been seen in India, and these cardiologists and surgeons assure full time recovery to their patients also. They also render proper remedial care after the surgery and advice patients to be on regular checkups. The proficient Indian cardiac surgeons among the many are:

  • Nagaraja Gowda
  • Naresh Trehan
  • Ramakanta Panda
  • Ashok Seth
  • Rajesh Sharma
  • Nandkishore Kapadia
  • Sarajit Kumar Das
  • K R Balakrishnan
  • Bhabananda Das
  • Z S Meharwal

Patient testimonials  

Patients from foreign countries as well as within India have shared their experiences about mitral valve replacement surgery. Among the many, we can refer to a few for understanding the procedure and the following recovery associated with valve replacement surgery.

  • A patient from Zambia says that :

“I had been suffering from mitral valve calcification which caused frequent pain and hypertension. After consulting my doctor in the city, he said that I needed a valve replacement surgery and informed me about the necessary cost. Since the cost was a bit expensive, I searched online for other favorable options. India happened to be one of the major countries providing successful cardiac treatment to its patients. I was recommended by and they arranged for my treatment in India. The hospital I was admitted in provided me with proper medical facilities and the support staff were really helpful. The surgeons conducted a successful valve replacement surgery and I had no major complications while recovering. Post operative care and with remedial treatment I soon recovered and was discharged within a week. I am highly satisfactory with the facilities I availed at the hospital and the immense help I received from for making my stay and treatment effective. I would recommend anyone suffering from cardiac problems to visit the group and the leading hospitals in India who ensure a proper and dedicated treatment.”

  • Another doctor from Kenya observes:

“I had been detected with mitral stenosis and the only viable option for recovery was an open heart surgery. A colleague referred me to get in touch with They recommended me to Apollo Hospitals, Bangalore under Dr. Sathyaki Nambala . After different medical scrutiny, I was admitted in the hospital and was operated for 2 hours. After a brief period in the ICU, I was discharged on the third day. A successful surgery and a quick recovery was assured to me by Dr. Nambala, who is an expert in the field of cardiology. I am extremely thankful with the treatment at the hospital also, as the medical staff catered to every need of mine. I would surely recommend about the hospital and to anyone

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