Dr TS Kler performs first TAVR at Fortis Memorial, Gurugram on a 73-year-old patient
Fortis Memorial Research Institute, Gurugram performed its first Trans Aortic Valve Replacement. This procedure was done on a 73 year old man with severe Aortic Valve Stenosis (Severe Narrowing of the Aortic Valve). The rare procedure was performed by Dr. TS Kler, Chairman, Fortis Heart and Vascular Institute, Gurugram and Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj.
Minimally Invasive Transcatheter Aortic Valve Replacement (TAVR) is a new technologically advanced minimally invasive procedure in cardiology. The patient, Mr Gurdial Singh, was advised for an open-heart surgery at his native place in Punjab. When the patient was presented to Dr Kler for a second opinion, the procedure of TAVR was explained to Mr. Singh and his family. Considering the high risk involved in regard with the open surgery and the advantages of TAVR, the family opted for TAVR.
Dr. Kler said, “Traditionally, if there is a Severe Aortic Valve Stenosis, the only remedy was a major open-heart surgery and surgeon used to replace the Aortic Valve. Patient had to stay in the hospital for 10 to 12 days with 3 to 5 % risk of death during or after the procedure. Trans Aortic Valve replacement procedure is a new exciting procedure which is done in the Cath Lab like a standard angiography without any cutting of chest or any part of the body.”
He added, we approached the Aortic Valve through Femoral artery and a very thin wire was passed through the narrow Aortic Valve into the left ventricle. Then a balloon was passed over this wire and positioned in Aortic Valve and dilated from outside. After this dilation of the aortic valve, a catheter based aortic valve was inserted through the femoral artery into the ascending aorta and then positioned across the narrowed aortic valve and then it was released and positioned in the aortic valve.
The total procedure took around 45 minutes and patient has been shifted to CCU for one night and discharged after 2 days.
Dr. TS Kler said “There are many drugs to treat other heart disease, however, there is no drug therapy to cure aortic stenosis.Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure to replace a narrowed aortic valve that fails to open properly (aortic valve stenosis). Older patients have a higher risk in conventional surgery and for such patients TAVR is the best option. This procedure can help relieve the signs and symptoms of aortic valve stenosis and improves survival in people who are at high risk of surgical complications. Through this procedure the patient can be discharged within 2-3 days post-surgery and the recovery is very fast.