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Pulmonologist in Mukundapur

Structural heart disease intervention including Transaortic valve implantation Left Atrial Appendage closures Balloon Mitral Valvotomy Balloon pulmonary valvotomy

Best Pulmonologist in Mukundapur


Structural heart disease intervention including Transaortic valve implantation, Left Atrial Appendage closures, Balloon Mitral Valvotomy, Balloon pulmonary valvotomy

Transcatheter Aortic Valve Implantation (TAVI)
The aortic valve controls the blood flow from your heart to the rest of the organs. TAVI is a minimal invasive procedure to replace your damaged or diseased aortic valve with a new man-made one using a narrow tube called a catheter. This is inserted into a large blood vessel in your groin or chest.

Why choose Manipal Hospitals
Manipal Hospital is equipped with a contemporary Cardiac Catheterization Lab furbished with the latest high precision technology to undertake intricate surgeries such as TAVI. Our specialized team of interventional cardiologists, cardiac surgeons, and cardiac anaesthetists who specialize in cardiac ultrasound imaging come together to perform this implantation procedure.

Solutions
TAVI is a minimal invasive catheterisation technique to set a defective aortic valve right. The aortic valve usually opens when blood is pumped from your heart to the rest of your body. When it cannot open and close properly, it puts excessive strain on your heart causing dizziness, blackouts or breathlessness. 

Complexities
While TAVI is a standard procedure for aortic valve malfunction there could be a few risks stemming from this technique. In some cases, patients with valve replacements may have an increased risk of developing infection of the heart valve and the surrounding tissue called endocarditis or even excessive bleeding in the elderly


Success of TAVI
TAVI has emerged as the best possible alternative to open heart surgical procedures in aortic valve replacement. With this techniques rising popularity in terms of durability and safety, it is here to stay.

Infection control protocol
Our patients are at the centre of our safety and comfort protocol at all times. Following TAVI procedure, you will be monitored in our Surgical Intensive Care Unit for at least 24 hours to prevent any kind of infections or side effects. 

Left Atrial Appendage and Closure
The left atrial appendage (LAA) is a small, ear-shaped sac in the muscle wall of the left atrium - top left chamber of the heart. A normal heart contracts with each heartbeat, and the blood in the left atrium and LAA is squeezed out into the left ventricle -bottom left chamber of the heart. In a person with irregular heartbeat, the electrical impulses that control the heartbeat are fast and chaotic, not giving the atria time to contract or effectively squeeze blood into the ventricles. This can cause blood to collect and can form clots in the LAA and atria. When blood clots are pumped out of the heart, they can cause a stroke. If you are at risk of developing clots in the left atrium or LAA, your doctor may recommend a procedure to seal off your LAA. This can reduce your risk of stroke and eliminate the need to take blood-thinning medication.

Solutions of LAA
Implants are the latest in treatment options for LAA. The WATCHMAN device is implanted through your skin in the Cath lab under general anaesthesia. A catheter sheath is inserted into a vein near your groin and guided across the septum, the muscular wall that divides the right and left sides of your heart, to the opening of the LAA. The device is placed in the opening of the LAA. This seals off the LAA and keeps it from releasing clots.

FAQ's

Transcatheter Aortic Valve Implantation (TAVI), also known as Transcatheter Aortic Valve Replacement (TAVR), is a medical procedure designed to improve blood flow in the heart by replacing a defective aortic valve. This condition, known as aortic stenosis, occurs when the aortic valve becomes narrowed and fails to open fully, leading to a blockage that slows blood flow from the heart to the body.

The aortic valve is located between the heart's left ventricle (lower chamber) and the body's main artery, the aorta. TAVI offers a minimally invasive alternative to traditional open-heart surgery for aortic valve replacement.

One of the key advantages of TAVI is a shorter hospital stay and a lower risk of complications compared to open-heart surgery, making it a preferred option for many patients with aortic stenosis.

A person may be required to undergo TAVI if he is suffering from the following conditions:

  • Aortic stenosis with moderate to severe symptoms

  • Improper functioning of the aortic valve

  • An alternative treatment for patients with lung or kidney diseases, which makes open heart surgery a risky treatment.

The process of closing the opening of your left atrial appendage is known as Left Atrial Appendage Closure. The left atrium, the upper left chamber of your heart, has a little pouch that resembles a windsock and is known as the left atrial appendage.
 

If you suffer from atrial fibrillation, a condition where your heart's electrical circuitry is disrupted and your heartbeat becomes erratic, your doctor can advise Left Atrial Appendage Closure treatment.

Blood is forced into the left ventricle (located at the bottom left of your heart) as your heart contracts with each heartbeat. Blood can pool in your left atrial appendage and raise your risk of stroke if you have atrial fibrillation, which prevents blood from leaving your left atrium efficiently.

Although blood thinners are a typical therapy for atrial fibrillation, they are not appropriate for all patients. If you are unable to take medicine, your physician may suggest having surgery to seal the opening of your left atrial appendage
 

Balloon Mitral Valvotomy, or Valvuloplasty, is a procedure to treat the narrowing of the mitral valve that is present between the upper and lower left chambers of the heart. This condition is known as mitral stenosis. The blood flow from the heart's upper left chamber to its lower chamber is controlled by the mitral valve. Mitral Valvotomy is a minimally invasive procedure that helps widen a mitral valve with the help of a thin flexible tube (catheter) with a balloon at its tip. Balloon Mitral Valvotomy is also known as Percutaneous Balloon Dilation.
 

Balloon Mitral Valvotomy is the treatment of choice when:

  • The mitral valve gets narrowed to less than 1.5 cm square.

  • Mitral stenosis is not being treated with medications.

  • To avoid or delay the Valve Replacement Surgery.

  • There is a risk of a brain stroke due to the narrowing of the mitral valve.

  • Narrowing of the mitral valve leads to chest pain and breathing difficulties.

  • Very high blood pressure in the lungs is present (pulmonary hypertension).

The goal of this minimally invasive procedure is to expand the constricted pulmonary valve. The pulmonary valve, one of the four heart valves that aid in blood flow between chambers and stop blood from flowing backwards, permits blood from the right heart to enter the lungs. It is situated between the right ventricle and the pulmonary artery, a large blood vessel that supplies the lungs. The oxygenation of blood is dependent on this process to provide oxygenated blood to key bodily organs.

Diseases that cause the valve to harden or calcify can occasionally impact the pulmonary valve, making it difficult for the valve leaflets to open or separate and permit enough blood flow through them. This is called pulmonary stenosis. Because of this, the heart will experience excessive strain and eventually fail due to heart failure from the right ventricle not emptying properly. Additionally, inadequate blood flow to the lungs will result in hypoxia, a state in which the blood oxygen content is low.

Most minor diseases are uneventful; however, when a condition is severe, there may be significant symptoms, such as

  • Breathing difficulties

  • Fatigue

  • Rapid or forceful breathing

  • Fainting

  • Chest discomfort

  • Cyanosis, or bluish lip and fingertip discolouration

In these cases, a Balloon Pulmonary Valvotomy may be recommended to relieve the obstruction and improve blood flow.

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