TAVR Surgery in Chennai

Looking to Consult for Transcatheter Aortic Valve Replacement in Chennai?

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TVAR (Transcatheter Aortic Valve Replacement) is a minimally invasive procedure to replace a damaged or diseased aortic valve in your heart. This procedure is done to treat aortic stenosis that causes narrowing of the valve, leading to restricted or blocked blood flow. Heart360 Care provides the best consultation and treatment for TAVR in Chennai.

What is TAVR & Aortic valve replacement?

The aortic valve is located between the left lower heart chamber and the main artery. It carries oxygenated blood from the heart to other parts of the body. When the aortic valve becomes narrow due to aortic stenosis, blood flow from the heart is blocked, which can cause chest pain and shortness of breath.

Over time, limited blood flow from the heart can result in heart failure and other severe complications. To overcome this, the TAVR procedure is performed as an alternative to open heart surgery.

TVAR is a minimally invasive procedure, so the incisions are small. Here, a new valve replaces the damaged aortic valve. Transcatheter Aortic Valve Replacement is carried out under general anaesthesia and takes around 1-2 hours.

The replacement valves used are generally biological tissue valves made from cow or pig heart tissue, although mechanical valves made of titanium and carbon are also used.

Why is TAVR Surgery Required?

After a thorough consultation at Heart360 Care in Chennai, our cardiologist will determine whether TVAR is the right treatment option for you. TVAR is suggested in cases when the candidate is at high risk for conventional heart surgery to replace the valve.

These risks can be due to advanced age, previous heart surgeries, or other health conditions such as chronic obstructive pulmonary disease (COPD) or renal disease. The procedure can ease symptoms of blood flow shortage, such as chest pain, fatigue, fainting, etc., and reduce complications. TAVR helps in improving the life expectancy of many patients.

Our Doctor

Dr. Nikhil P.J.Theckumparampil

Heart Specialist & Cardiac-Surgeon Robotic & Minimally Invasive Cardiac Surgery (MICS) TAVR / TAVI Specialist. Senior Consultant Apollo Hospital

Gold Medalist in MBBS
Trained at Harvard University, Ohio State University, Vanderbilt University and Temple University.
Graduated Top of his class in Cardiac Surgery.
Awarded Pennsylvania, USA, “Top Doctor”.
One of the busiest Robotic Heart Surgeons in the USA performing over 200 robotic assisted cardiac surgeries.
Trained and published in LVAD and Heart Transplantation.
Returned to India after 17 years in the USA.
Associate Professor and Senior Consultant Apollo Hospitals, Chennai.
Board Certified by the American Board of Surgery and American Board of CardioThoracic Surgery
Only American Board Certified Cardiac Surgeon Currently practicing in India

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How Is the TAVR Procedure Performed?

Initially, a thorough physical examination, imaging, and blood tests are conducted to analyse the severity of aortic stenosis and the anatomy of the aortic valve.
TAVR surgery in Chennai is performed under general anasthesia or mild sedation, depending on the patient’s overall health.
During the medical procedure, the surgeon makes small incisions to insert a hollow flexible tube called the catheter to reach the heart.
The surgeon then replaces the damaged aortic valve using the biological tissue valve from a cow or pig during TAVR through the catheter. The new valve is expanded using a balloon on the catheter tip to push the old valve out.
Once the new valve is in place, the surgeon checks for leaks and other issues and carefully removes the catheter. The incisions are stitched, and the patient will be transferred to the post-recovery area to monitor vitals.

What Happens After The TAVR Procedure?

The duration of the hospital stay varies depending on the patient’s general health and the complexity of the procedure. Typically, patients can leave the hospital the day after the surgery. General instructions about caring for wounds and looking out for infections or other symptoms will be shared by the cardiologists.

Medicines such as blood thinners or anticoagulants will be prescribed to ensure the prevention of blood clot formation. Antibiotics may also be added to prevent any infections.

After the TAVR, regular follow-ups and imaging tests are scheduled to check the functioning of the new valve and to manage any complications.

What Are The Benefits Of Transcatheter Aortic Valve Replacement?

These days, TAVR surgery is more common than traditional open heart surgery for valve replacement for the following benefits.

Smaller incisions: As the cuts made in the procedure are small, the healing is faster, and there is less trauma on the surrounding tissues. The pain and discomfort associated with TAVR are much less.
Reduced infections: Since the incisions are small, there is minimal chance of bleeding and infections compared to open-heart surgery.
Faster recovery time: Patients undergoing TAVR generally experience a quicker recovery and have shorter hospital stays. They can return to normal activities within a few weeks, whereas in traditional open heart surgery, resuming normal activities might take months.
Best for high-risk patients: TAVR offers a viable option for elderly patients and individuals who have difficulty undergoing open-heart surgery due to underlying medical conditions.

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What Is The Cost of TAVR Surgery In Chennai?

The cost of TAVR Surgery is approximately INR 700000 However, the total cost of TAVR procedure in Chennai varies depending on factors such as:

Complexity and Duration: Complex surgeries require a longer operating duration and generally cost more.

Hospital and its Facilities: Hospitals with the latest facilities and specialised cardiac centres may have higher fees compared to general hospitals.

Experience and Reputation: The expertise of the surgeon and a high success rate in TAVR surgeries adds to the total cost.

Preoperative and Postoperative Care: Preoperative consultations, diagnostic tests, and imaging studies are performed, which increases the total cost of TAVR.

Follow-Up Care: Postoperative care, ICU stays, follow-up consultations, and rehabilitation can impact the total rate of TAVR surgery in Chennai.

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What Are The Risks Or Complications Of Transcatheter Aortic Valve Replacement?

Although TAVR is a minimally invasive procedure that can be completed quickly and done using advanced technology, there are some possible risks associated with it. Some of them are listed below.

Stroke
Bleeding from the wound site
Clot formation in various parts of the body
Heart rhythm problems
Kidney diseases
Device related complications
Reaction to anasthesia

Why is Heart360 Care Best for TAVR in Chennai?

Choosing the right surgeon and hospital for consultations is crucial, and Heart360 Care, led by Dr Nikhil P.J. Theckumparampil, one of the best cardiac surgeons in Chennai, offers exceptional medical care. With decades of experience and over 3,000 heart surgeries completed, Dr Nikhil offers high-quality consultations and cardiac surgeries.

He has extensive global experience in cardiac surgery and advanced procedures like robotic heart surgery, TAVR, etc. He was trained at prestigious institutions, including Harvard University, Ohio State University, Vanderbilt University, Temple University, and the University of Pennsylvania.

Dr. Nikhil is known for his expertise in incision-less valve procedures, having performed more than 400 transcatheter valve replacements using advanced technologies, such as the Medtronic CoreValve, Edwards Sapien valve, Abbott MitraClip, and Meril MyVal. He is also an expert in surgical electrophysiology, specialising in Cox Maze IV for atrial fibrillation and serving as a proctor for Convergent Hybrid Ablation Procedures.

Another key factor is that Heart360 care in Chennai emphasises a patient-centred approach. Dr Nikhil is highly compassionate and provides clear communication and personalised treatment plans. The hospital is also easily accessible to patients and their families.

How To Select The Best Cardiac Surgeon For TAVR Surgery In Chennai?

Deciding on the best cardiac surgeon for Transcatheter Aortic Valve Replacement (TAVR) surgery is very important. Here are some important points to keep in mind while looking for the best cardiac surgeon in Chennai:

Check for online patient reviews and recommendations to learn about specialised cardiac hospitals and cardiac surgeons.
Ensure the surgeon is board-certified in cardiac surgery.
Look for a surgeon who specialises in TAVR procedures.
Check the hospital’s success rates and patient outcomes for TAVR.
Consider the hospital’s location and its accessibility for you and your family.

Frequently Asked Questions

How is TAVR different from traditional open-heart surgery?

TAVR involves replacing a damaged aortic valve using small incisions, and the heart is not stopped during the procedure. In contrast, in traditional open-heart surgery, a large incision is made in the chest, and the heart’s beating is temporarily paused.

How long does the TAVR procedure take?

The duration of the TAVR procedure depends on the overall health of the patient and the severity of the aortic stenosis. If all the parameters are favourable, then the procedure will typically take a few hours to complete.

How long does a TAVR valve last?

With advancements in technology, the durability of the valves is longer. TAVR valves are designed to be durable, and many patients experience good valve function for several years.

Do I need to make lifestyle changes after TAVR surgery?

After a successful TAVR surgery, the patient should adhere to the instructions provided by the cardiologists. Also, some lifestyle adjustments should be made for a longer and more successful treatment. These changes include maintaining a heart-healthy diet, staying physically active, quitting smoking, etc.

Can you live a normal life after TAVR?

Yes, after a successful TAVR procedure, many patients can live a normal and active life. Since it is a minimally invasive procedure, you can resume normal activities at a faster pace. However, you need to strictly follow the recommendations and follow-ups as suggested by your cardiologists to improve the quality of your heart health.