Our CTVS team is functioning from the year 2014; under the Leadership of Dr Sanjay Theodore. The team performs approximately 300 surgeries per year with a success rate of 98% for elective surgery. Our team includes Cardiac Anaesthetists, Intensivists, Perfusionists, Physician assistants and specialised nurses. Our team treats various cardiovascular and thoracic conditions that affect people of all ages. We also perform minimally invasive cardiac surgeries. Heart failure and lung failure are managed with circulatory support devices.
The heart contains contains four valves -Tricuspid valve, pulmonary valve, mitral valve, aortic valve.
The general principles of MV repair are to create an apposition of the anterior and posterior leaflet in systole, increase the valve mobility, prevent valve Stenosis, reduce the annular dilatation and remove all the infective foci in case of endocarditis. Stabilization of the annulus with an annuloplasty ring.
The presence of significant annular calcification; valvular dystrophic, inflammatory, or infective changes; subvalvular thickening or fusion; and progressive cardiomyopathy is an indication for primary mitral valve replacement.
During mitral valve replacement, the surgeon removes the part of the native diseased mitral valve and replaces it with a mechanical valve or a tissue valve.
Age >65 years: Tissue valve
Age <65 years: Mechanical valve, in a patient with no contraindication for oral anticoagulation
A new valve is inserted into the heart to treat aortic stenosis, without removing the
Diseased aortic valve.
Major advantage of TAVI :
Coronary artery disease is the most common type of heart pathology affecting patients.