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First Transcatheter Aortic Valve Replacement [TAVR] done in the region

A team of doctors at Fortis Hospital, Mohali, has successfully performed the first non-surgical valve replacement in the region.

A 75-year old female from Mohali was having symptoms of severe breathlessness on minimal day to day activities. On investigating, she was found to have critical narrowing of one of the left-sided valves of the heart – the aortic valve, along with critical narrowing of artery of the heart.

Narrowing of the aortic valve is a life threatening disease and normally requires an open heart surgery with valve replacement. Epidemiological studies have determined that more than one in eight people aged 75 and older have narrowing of the left-sided valves of the heart, which is known as aortic stenosis.  If not treated emergently, this may lead to severe disability and sudden death.

75-year old homemaker from Mohali was seen by cardiac surgeons and was found to be very high risk for surgical aortic valve replacement. After detailed discussion, the Heart Team of Fortis Hospital, Mohali, decided to offer non-surgical transcutaneous aortic valve replacement (TAVR) as the best treatment option to her family. The procedure lasted 2.5 hours and was completely successful. Patient has made complete recovery and has become mobile from the second day after the procedure.

Percutaneous aortic valve replacement is a new treatment option for patients of critical aortic stenosis, in whom surgical risk is very high as it carries increased morbidity. Elderly patients suffering from this critical disease would benefit greatly by this new technology. Valve replacement is done from the groin and the patient can become completely active next day after the procedure. This is a completely non-surgical technique and the groin site is repaired non-surgically immediately after the procedure.

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