Extensive Experience and Expertise

Our extensive experience with the latest valve prosthesis ensures that patients receive the highest level of expertise and care during their Aortic Valve Replacement procedure.

Comprehensive and Protocol-Driven Care

We follow a protocol-driven approach for pre and post-operative care, resulting in good outcomes and minimal complications for patients.

Low Infection Rate and Focus on well-being

Our strong focus on maintaining a clean and sterile environment promotes patient safety and reduces the risk of post-operative infections.

Aortic valve replacement is recommended for the treatment of aortic valve disease. In aortic valve disease, the valves of the aorta (the largest artery) get damaged or become leaky. This results in limited blood flow through the aorta. In case of leaky valves, some amount of blood flows backward every time the valve closes. Aortic valve disease is a serious vascular disorder. If left untreated, it can lead to complications such as heart failure. This happens due to the inability of the heart to pump enough blood to the body. It may also cause arrhythmias (abnormal heartbeats), infective endocarditis (infection in the heart), heart attack, stroke, or sudden cardiac arrest. At Asian Hospital, aortic valve replacement is done using an open-heart surgical approach or a minimally invasive approach (TAVR) with outstanding precision. Our skilled aortic valve replacement surgeons replace the damaged or leaking aortic valve with a mechanical or biological tissue valve during the procedure. At AHI, our primary focus remains on the safety, accuracy, and longevity of patient outcomes post aortic valve replacement procedure. Here, aortic valve replacement is performed using advanced surgical techniques, including off-pump and minimally invasive approaches, which reduce complications and accelerate recovery. The top aortic heart valve replacement surgeons in India are providing dedicated heart care at AHI, supported by world-class infrastructure, advanced patient monitoring systems, and a highly trained support team.

Why Choose AHI for CABG Surgery in Mumbai?

At Asian Heart Institute, even complex aortic valve replacement surgeries are performed with high precision by globally recognized and top aortic valve replacement surgeons in Mumbai. Our advanced cath labs and world-class patient monitoring systems significantly increase the success rate of these life-saving procedures. Our state-of-the-art technology, strict safety protocols, and dedicated cardiac care teams ensure superior surgical outcomes, faster recovery, and exceptional patient safety.

How to Prepare for an Aortic Valve Replacement Procedure?

You need to prepare for aortic heart replacement surgery in AHI in the following ways:
  • You need to stop smoking days before the surgery.
  • Your health history regarding your medications, implants, pregnancies, disorders (like bleeding disorders, diabetes, and high blood pressure), and allergies will be reviewed.
  • A thorough physical examination will be done. Certain blood tests, blood clotting tests, or other diagnostic tests will be advised.
  • Do not eat or drink for 8 hours before the procedure, generally after midnight if it is planned in the morning.
  • You need to sign a consent form to provide permission to perform the surgery.
  • You have to remove any jewelry or anything else that may interfere with the procedure.
  • You need to wear a hospital gown and empty your bladder. Your care team will insert an IV (intravenous) line in your arm or hand.
  • Your care team will attach electrodes to your body for perioperative monitoring, which will monitor the real-time values of your vitals such as heart rate, blood pressure, breathing, and blood oxygen level.
  • You will lie straight on an operating table.
  • Anesthesia will be administered.
  • A breathing tube will be inserted into your neck.
  • For on-pump valve replacement surgery, a heart–lung machine temporarily takes over the functions of your heart and lungs while the ventilator continues to manage your breathing.
  • For off-pump valve replacement surgery, you will still be connected to a ventilator, which supports your breathing throughout the procedure.
  • A catheter will be put inside your bladder for urine drainage. To drain stomach fluids, a tube will be sent to your stomach through your mouth or nose.
  • The surgical site’s skin is cleaned with an antiseptic solution.

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FAQs

In addition to a complete physical examination and medical history recording, your doctor may suggest you undergo Cardiac catheterization (heart cath), a chest X-ray, computed tomography (CT) scan, echocardiogram (echo), electrocardiogram (EKG), and lab tests, including blood tests and urine tests.

Depending on the disease progression, the patient may be advised to take complete rest and start immediate preparation for the operation, which includes certain tests such as ECHO, angiography, CT scan, stress ECHO, and blood tests necessary for the operation. The kind of tests that need to be done depends on the type and stage of the disease. Some medications may need to be modified. In some cases, it is essential to ensure that the patient is medically fit from a kidney, lung, and neurological health perspective before proceeding with surgery. Expert opinions from the respective specialists may be sought to assess overall readiness. Additionally, a comprehensive evaluation is conducted to rule out the presence of any active infection anywhere in the body, ensuring the safest possible surgical outcome. During the procedure, the patient is administered anesthesia. Then the incisions are made on the sternum to open the thoracic cavity and perform an open heart procedure to replace the damaged aortic valve with a mechanical or biological valve.

The patient’s caregiver must follow the treating doctor’s advice diligently before the operation. Caregivers can help their patients by keeping them away from mental and physical stress. Let them rest properly before the surgery. Stay available so that hospital staff and the doctor can reach out to you for the patient's requirements. Furthermore, be present to receive the post-surgical care instructions. He/she needs to stay in the hospital with the patient until they are discharged, which can be from 5 to 7 days. During recovery, they should assist with incision care, ensure activity restrictions are followed, monitor for warning signs such as fever, swelling, breathing issues, or chest pain, and help the patient attend follow-up visits and monitoring testing. They must assist in cardiac rehabilitation programs and support healthy lifestyle habits throughout the recovery period..

  • Medication to help the heart may be advised after the operation and should be taken diligently.
  • Blood thinners are high-risk medications and will require a strict schedule under medical guidance and regular blood tests.
  • To prevent infection, a strict hygiene protocol is to be maintained.
  • Regular follow-up for the ongoing status of the valve function is required.

Broadly, there are two types of valves—mechanical (artificial) and tissue valves (prepared from animal tissues). A tissue valve has a finite lifespan, after which it needs to be replaced. A mechanical valve lasts a lifetime but requires lifetime blood-thinning medication. Tissue valves cost 3–5 times as much as mechanical valves.

In 2011, I thought it was the end of my active life. But after my Angioplasty, I started running marathons!


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Harshad Sheth

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