Nagpur: The Transcatheter aortic valve replacement or TAVR is a skilled procedure to replace the valve in heart while avoiding the open heart surgery.
Such surgeries are performed in Nagpur often in last five years, as the city has emerged as a medical hub of central India. Recently, in Kingsway Hospital, doctors performed this skilled surgery, in which a technically challenging implantation of very large sized valve (30 mm) was executed successfully. This was an unprecedented case for Nagpur region where such a large sized valve has been successfully implanted during TAVR.
Dr Shailendra Ganjewar, senior consultant cardiologist at Kingsway hospitals, told that TAVR is tried and trusted process, but it was challenging this time. “We all know that in TAVR, you don’t need to have the chest opened. This procedure allows doctors to deliver a replacement valve in very much the same way that a cardiac stent is inserted to open blocked arteries in the heart. But, in this particular case, the patient required a very large sized valve which was near 1.18 inch, that too, self-expanding valve. So, this was technically challenging,” said Dr Ganjewar.
The procedure was conducted on 67-year-old Ashok Bhabhra. He had undergone angioplasty with one stent 20 years ago. Recently, the man was found to have severe stenosis of his aortic valve and blocks in his two coronary arteries. In such cases, open heart surgeries used to be the only option earlier. But, the advanced technology and trained doctors together made is possible without any cut. The patient recovered within 24 hours. The team of doctors included Dr Anmol Sonawane (Mumbai), Dr Shailendra Ganjewar, Dr Irshad Pathan, Dr Amey Beedkar and others.
Doctors told that the patient had stopped his medication since last 3-4 years as he was feeling better. During last 2 years, he was experiencing breathlessness even on mild exertion. When the symptoms increased he consulted Dr Ganjewar who told him surgery is the only option. Apprehensive, he avoided the surgery for one year but again in June 2021, his symptoms increased significantly. After he was explained that the TAVR procedure is much less invasive than previous methods of heart valve replacement, he agreed for the surgery.
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