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Valve Replacement Surgery and Cost in india

Valve Replacement Surgery and Cost in india

When valve repair isn't possible due to severe damage, valve replacement becomes the best option. In this procedure, the surgeon removes the diseased valve and replaces it with a new one, which is sewn onto the annulus, the ring-like structure of the original valve. The replacement valve can be either mechanical or biological. Mechanical valves, made from durable materials like metal or carbon, are designed to last a lifetime but require lifelong use of blood-thinning medication to prevent clotting. Biological valves, crafted from animal tissue or human donor tissue, tend to wear out over time and may need replacement after 10 to 20 years. However, they generally don't require long-term blood thinners. The choice between mechanical and biological valves depends on factors such as the patient's age, health, and lifestyle.

Valve replacement surgery is a critical procedure that significantly improves heart function and overall quality of life.
Valve Replacement Surgery
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Mechanical valve replacement Surgery in India

Mechanical valves are made totally of mechanical parts which are tolerated well by the body. The leaflet valve is used most often. It consists of two carbon leaflets in a ring covered with polyester knit fabric. There are advantages and drawbacks to mechanical valves.

If valve repair is not an option, your surgeon may choose to replace the valve. The native valve is removed and a new valve is sewn to the annulus of your native valve. The new valve can either be mechanical or biological.

The St. Jude Medical® Regent valve is available for aortic valve replacements, and the standard St. Jude Medical® valve is used in the aortic and mitral valve positions.

The St. Jude heart valve was the first bileaflet mechanical heart valve (St. Jude Medical® (SJM)). This valve has a track record spanning 3 decades of excellent results. This bileaflet mechanical heart valve is designed and manufactured of pyrolytic carbon.

boMedics manufactures a variety of bileaflet mechanical heart valves. The Top Hat Supra-Annular valve is used for aortic valve replacement and the standard valve in the mitral position. A third valve, the Reduce R Aortic Valve may also be used for aortic valve replacement.

The valve housing and leaflets are made of Pyrolite carbon, a unique form of carbon which Carbomedics engineers discovered in the sixties. Attached to the carbon housing is a reinforcing band of titanium and attached to the titanium band is a suture ring of PET fabric. A metallic nitinol wire holds the titanium ring to the housing with an interference groove system. Pyrolite is biocompatible.

    • Advantages: – Mechanical valves are very durable. They are designed to last a lifetime.
    • Disadvantages: – Due to the artificial material involved, patients who receive these valves require lifelong treatment with a blood-thinning (anticoagulant) medication. Blood-thinners are medications (such as warfarin or Coumadin) that delay the clotting action of the blood. They help prevent clots from forming on the mechanical valve, which can cause a heart attack or stroke.

Risks

The risks of any anesthesia include: –

  • Problems breathing
  • Reactions to medications

The risks of any surgery include: –

  • Bleeding
  • Infection

The risks of cardiac surgery include: –

  • Death
  • Heart attack
  • Irregular heartbeat (arrhythmia)
  • Kidney failure
  • Stroke
  • Temporary confusion after surgery due to the heart-lung machine

It is very important to take steps to prevent valve infections. You may need to take antibiotics indefinitely or before dental work and other invasive procedures.

After the Procedure

The success rate of heart valve surgery is high. The operation can relieve your symptoms and prolong your life.

The death rate averages 2% to 5%, depending on the heart valve. About 2 of every 3 patients who received an artificial mitral valve are still alive 9 years after the surgery.

The clicking of the mechanical heart valve may be heard in the chest. This is normal.

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