CNN Central News & Network-ITDC India Epress/ITDC News Bhopal: Kauvery Hospital, Alwarpet, has successfully treated two failing heart valves in a patient without repeat open-heart surgery, in what is believed to be the world's first reported completely catheter-based treatment following a Ross procedure.
The procedure was performed on a 58-year-old man who had undergone a complex heart valve operation nearly 25 years ago. He had previously undergone the Ross procedure, in which the patient's own pulmonary valve is moved to replace the diseased aortic valve (known as an aortic autograft), while the pulmonary valve is replaced with a donated human valve (known as a pulmonary homograft). Although the Ross procedure provides excellent long-term outcomes, both valves can deteriorate over time and may require further intervention.
The patient presented with severe aortic regurgitation, severe pulmonary regurgitation with moderate pulmonary stenosis, severe pulmonary hypertension and moderate mitral regurgitation. He had repeated admissions for heart failure with severe swelling of the legs and abdomen, impaired kidney and liver function, and severe breathlessness. He was unable to sleep comfortably and was in New York Heart Association Class III–IV heart failure.
He had consulted multiple centres where repeat open-heart surgery was considered prohibitively high risk because of the complexity of a second operation. Even a catheter-based approach was considered extremely challenging.
Following a detailed evaluation using three-dimensional echocardiography and cardiac CT imaging, the multidisciplinary heart team at Kauvery Heart Institute identified the possibility of treating both failing valves through a completely catheter-based approach without repeat open-heart surgery. Since no similar case had been reported in the published medical literature, the treatment strategy was reviewed extensively by the hospital's heart team led by Dr Rajaram Anantharaman, Director of Transcatheter Heart Valve Therapies and an international panel of experts before proceeding.
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