TFP Bureau, Raipur; February 7, 2024: The Advanced Cardiac Institute (ACI) at Dr. Bhimrao Ambedkar Memorial Hospital, affiliated with Pandit Jawahar Lal Nehru Memorial Hospital, achieved a significant milestone in cardiac care by successfully performing the Transcatheter Mitral Valve Implant (TMVR) through a valve-in-valve procedure. Dr. Smit Srivastava, Head of the Department of Cardiology at ACI, conducted the groundbreaking procedure, saving the life of a 70-year-old female patient. This marks the first instance in Chhattisgarh where a mitral valve replacement was performed without any chest incisions, positioning ACI as a pioneer in advanced cardiac treatments in the state.
According to Dr. Smit Srivastava, the innovative procedure involved implanting the mitral valve through the patient’s thigh vein, akin to the process of placing stents in heart veins during angioplasty. The patient, who received a 26 mm mitral valve, underwent the non-invasive procedure on February 6th, 2024, at the Department of Cardiology, Advanced Cardiac Institute. Notably, the patient, suffering from severe mitral regurgitation (MR), recovered swiftly within two days post-procedure and is scheduled for discharge.
Chief Minister Shri Vishnu Dev Sai and Health Minister Shri Shyam Bihari Jaiswal commended the team at ACI for this remarkable achievement, emphasizing the institute’s dedication to delivering exceptional cardiac care services.
Dr. Smit Srivastava highlighted the complexity of the patient’s case, involving a history of multiple heart surgeries and underlying health conditions such as severe asthma and immune thrombocytopenic purpura (ITP). Given the patient’s advanced age and fragile health, traditional open-heart surgery was deemed impractical, leading to the adoption of the minimally invasive TMVR procedure.
Explaining the procedure, Dr. Srivastava detailed the process of reaching the aorta through a catheter inserted via the thigh vein, followed by balloon manipulation to create space for the new valve implantation. The balloon-expandable valve was then positioned within the worn-out surgical valve, restoring proper heart function.
TMVR valve-in-valve therapy, as described by Dr. Srivastava, offers a groundbreaking solution for patients who have undergone previous mitral valve surgeries but experience valve failure. The technique allows for valve implantation within the existing valve through a catheter, eliminating the need for repeat open-heart surgery.
The successful outcome of the TMVR procedure at ACI garnered praise from patients and their families, underscoring the institute’s commitment to leveraging cutting-edge technologies for improved cardiac care outcomes.
