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First time in India: Heart valve repair without opening chest

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BS RAWAT
NEW DELHI: Dr Ashok Seth, chairman, Fortis Escorts Heart Institute, Delhi, has successfully performed the catheter based procedure of MitraClip to repair a leaking heart valve without opening the chest in a 69-year- old man who was suffering from repeated heart failure and in whom open heart surgery was not possible.

The procedure has been conducted for the first time in India. It was supported by Professor Saibal Kar of Smidt Heart Institute, Cedars Sinai Medical Centre, Los Angeles.

The patient had a bypass surgery 13-years ago and more recently his heart was getting enlarged due to a severely leaking valve, leading to breathlessness and heart failure.

Dr Seth said, “In this procedure, special catheters are inserted through the large vein in the groin and the catheter is passed from the right chamber of the heart to the left chamber of the heart by puncturing the partition called interatrial septum.”

He said, “Then, under echocardiography and X-ray guidance, a clip is put on the leaking mitral valve to decrease the leak which improves the condition of the patient. The patient is normally ready to be discharged in 24-48 hours’ time.”

Professor Saibal Kar said, “With the introduction of MitraClip to India, we hope to benefit a number of patients who are gradually deteriorating from leaking valves, despite medications, and are unsuitable for valve replacement surgery.”

Nearly 10% of the population affected by the leaking mitral valve  who have these disease including heart diseases and continues to increase. The continuously problem put pressure on the heart resulting breathlessness. If left untreated, it leads to enlargement of the heart, heart failure and death.


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