Hyderabad, November 19, : , A patient aged 79 with a rare blood condition that causes bleeding, but not injury, is the first Indian to have a transcatheter valve replacement. Hemophilia, a serious bleeding disorder that is caused by a deficiency in blood clotting factors, was diagnosed at Medicover Hospitals.
Also, he had severe aortic Stenosis (a narrowing of his heart valve) which causes the valve responsible for controlling the flow of blood to get jammed.Additionally, he had severe breathing difficulties.
In a statement, Dr.Anil Krsa, chairman and managing director of Medicover India said that he was at high risk due to bleeding in surgery, as well as severe lung disease.
The doctors decided to perform a transcutaneous replacement of the aortic valve.This means that it can be done without incisions on the chest but through the groin.
Krishna stated, “This procedure would greatly reduce the chance of fatal bleeding.It was also very fast with short hospital stays and quick recovery.”
The doctor evaluated him for TAVR (Trans Catheter Aortic Valve Replacement), which is a procedure to replace a damaged aortic valve.However, doctors discovered that his aorta was significantly narrowed below his kidney blood vessels.His right artery had also been narrowed.
The valve was then replaced from the left side groin.
He didn’t have enough calcium in his valve so he did not need to undergo a balloon dilatation.We could proceed with the direct implantation.
The position of his valve was perfectly positioned, so he didn’t need a pacemaker.Dr.M.S.S.said that the pressure gradients in the aortic valve were normalized as soon as it was installed.This is an indication of the success of the procedure.Mukharjee (interventional cardiologist) performed the operation.
The post-procedure period wasn’t easy.After bleeding from his groins, the patient became oxygen-dependent for a while after he began bleeding from his urinary tract.
We gave the patient recombinant factor 8, which he had obtained from Hemophilia society, and repeated the dosage after 12 hours.After one day, we had to give the two doses again.Mukharjee stated that all complications were managed.
It is an amazing miracle of modern medicine that the patient was able to be discharged.
He noted that TAVR can be performed in patients who have severe co-morbidities and avoids major surgery.
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