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Aortic valve repair in India: economic benefits and
Aortic valve repair in India is a surgical procedure used to correct certain shortcomings of the aortic valve as an alternative to aortic valve replacement. Indian medical tourism offers our clients the most affordable range of medical treatments, with very competent, highly respected Indian specialist doctors. Along with this, we also offer our patients to rest and recuperate in one of the worlds most popular and beautiful beach side city. The India boasts of several good private owned hospitals in Goa, Delhi, Kerala, Agra and unbeatable facilities. They have some of the best specialists doctors, with the top most of the students in the U.S. and the United Kingdom. People prefer aortic valve surgery Repair of India because it is available in several hospitals where the surgeon and the team is dedicated to bring smile on the face is patience.
Aortic valve repair in India is a cardiac surgery procedure in replacing the aortic valve of a patient by a different valve. The aortic valve can be affected by a number of diseases, the valve can become leaky (aortic insufficiency / regurgitation) or partially blocked (aortic stenosis). Aortic valve replacement currently requires open heart surgery. Aortic valve repair is almost exclusively limited to patients with aortic regurgitation (AR) without a component of the stenosis. Patients considered for repair are usually young who wish to avoid anticoagulation and is expected to survive a tissue valve replacement should be considered. To perform this operation, the cusps should be thin and flexible, without calcifications. Most repairs result in reducing the effective orifice area in order to increase the coaptation with the peak area available. There is a consequent increase in aortic valve gradient and this should be provided in the evaluation of patients preoperatively. The decision to repair of an aortic valve is performed by weighing the risk of failure of repair versus the benefit of avoidance of oral anticoagulation therapy.
There are two basic types of artificial heart valve surgery in India are available: mechanical valves and valves tissues.
Tissue valves: tissue heart valves are usually made of animal tissue, whether the heart valve animal tissue or animal pericardial tissue. The fabric is treated to prevent rejection and calcification. There are alternatives to animal tissue valves. In some cases a homograft - a human aortic valve - can be implemented. homograft valves are donated by patients and harvested after death. The durability of the homograft valves is probably the same for porcine tissue valves. Another procedure for aortic valve repair is the Ross (or pulmonary autograft). In a Ross procedure, the aortic valve is removed and replaced with the patient's own pulmonary valve.
Mechanical valves: mechanical valves are designed to outlast the patient, and generally have been tested with stress to last several hundred years. Although mechanical valves are long lasting and, in general surgery, only one is needed, there is an increased risk of clots of blood with mechanical valves. As a result, mechanical valve recipients generally must have an anticoagulant (blood thinning) drugs as warfarin for the rest of their lives, making the patient more prone to bleeding.
Valve Selection: Tissue valves tend to age more rapidly with increased flow demands - for example, an asset (usually younger) person. tissue valve typically last 10-15 years in less active (usually elderly) patients, but wear out more quickly in younger patients. When a valve fabric is worn and needs replacement, the person must undergo another surgery for valve replacement. For this reason, younger patients often recommend mechanical valves to prevent the increased risk (and pains) of another replacement of the tube.
Surgical procedure:
In India, the surgeons went through a lot of research on aortic valve surgery repair some surgeons practiced with great USA, United Kingdom. aortic valve replacement is most frequently done through a median sternotomy, ie, the incision is made by cutting through the breastbone. Once the pericardium was opened, the patient is placed in circulation machine bypass, also known as the heart-lung machine. This machine performs the task of breathing for the patient and the blood pumping around while the surgeon replaces the heart valve.
Once the patient is on bypass, an incision is made in the aorta and applied a crossclamp. Then The surgeon removes the patient's diseased aortic valve and a mechanical or tissue valve is put in place. Once the valve in place and aorta is closed, the patient is removed from the heart-lung machine. Transesophageal echocardiography (TEE, an ultrasound of the heart goes through the esophagus) can be used to verify that the new valve is working properly. pacing wires are usually put in place so that the heart rate can be manually if other complications after surgery. also drainage tubes inserted to drain fluid from the chest and pericardium after surgery. These are usually removed within 36 hours, while the rate cables are generally left in place until just before the patient is discharged from the hospital.
Bridge Cardiopulmonary:
Cardiopulmonary surgeons in India are well experienced in surgery of valve repair aorta. The described from experience are:
Cardiopulmonary bypass is established with a distal ascending aortic cannula and a state arterial Double venous cannula through the right atrium. The patient remained normothermic. The left ventricle is vented through a superior right approach pulmonary vein. Retrograde cardioplegia was first administered through a catheter from the coronary sinus and antegrade cardioplegia can be administered following directly into the coronary ostia through a soft cannula orifice.
The hospital stay and recovery time:
Surgeons in India suggest to patients of the aorta repair surgery valve. Immediately after aortic valve replacement, patients often stay in a cardiac surgery intensive care unit for 12-36 hours. The total time after of surgery is usually between 4 and 10 days, unless complications arise.
The recovery of aortic valve replacement will be 1-3 months if the patient is in good health. Patients are advised not to do any heavy lifting for 6-8 weeks.
Outcome and risks of the procedure:
Surgeons of India, describing some of the risks and outcomes of surgical repair aorta. The risk of death or serious complications from aortic valve replacement is usually cited as 1-5%, depending on the health and age the patient and the surgeon's skill. Elderly patients and other more fragile, sometimes they are eligible for surgery due to high risks.
Hospitals in India in Kerala, Agra, Delhi and Goa treat patients with excellent quality, providing better integration of medical care and respect for customer satisfaction under efficient management and provide intensive follow-up care and monitor progress to ensure that the result of surgery meets the expectations of patients. India is famous as a tropical holiday destination, but also the sun, sand and beautiful beaches, offers an opportunity to have high level of aortic valve repair surgery in India in a relaxed atmosphere at affordable prices cost, where you can make recovery while enjoying the famous Indian hospitality, the scenery, excellent hotels and fabulous restaurants, which can make you feel like you're on your own island paradise. For more information about aortic valve repair surgery in India, please enter to: www.indiacardiacsurgerysite.com or mail in your queries info@indiacardiacsurgerysite.com , +91-9579119451
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