MANGALURU – Indiana Hospital and Heart Institute, Mangaluru, in yet another milestone, performed a minimally invasive procedure using a transcatheter technique on a Kenyan patient who was advised redo bypass surgery where she was first treated.
A 65-year old lady from Kenya who had mitral valve disease had undergone bypass surgery and the valve was replaced in 2014 at a hospital in Ahmadabad. After a gap of 8 years she had degeneration of the valve; in other words, the artificial valve started malfunctioning which resulted in heart failure. This condition was further worsened with respiratory issues and pulmonary hyper-tensions. When she came back to the same hospital in Ahmadabad they advised to change the valve again, meaning repeating the surgery which was a risky affair.
The patient party came to know of Indiana Hospital and consulted Dr. Yusuf Kumble who advised an alternative option of not undergoing any bypass surgery. He suggested that the valve can be changed without removing the old valve through an interventional technique. Says Dr. Yusuf Kumble, “Valve in valve technique is one of the rare situations where the mitral valve is replaced without opening the heart. It is called trans catheter mitral valve replacement.”
Dr Yusuf Kumble and his of doctors in Indiana Hospital did a fantastic job in one hour time. The patient was mobilized within 8 hours and was able to move out of ICU in 24 hours. The patient is ready for discharge after 5 days of hospitalisation.
It may be recalled that for the first time TMVR was done in 2019 in Karnataka at Indiana Hospital Karnataka.
TMVR, also known as trans catheter mitral valve replacement, is a relatively recent technique of replacing the mitral valve in the heart without the need for conventional open-heart surgery.