MitraClip
Mitraclip is a minimally invasive procedure used to treat a condition called Mitral Valve Regurgitation which occurs when the mitral valve in the heart does not close properly and allows blood to flow backward into the left atrium.
This procedure involves threading a catheter through a small incision in the groin and upto the heart, where small metal clip is attached to the valve to help it close more effectively. This helps to restore normal blood flow through your heart.
Symptoms of Mitral Regurgitation- Shortness of breath, Fatigue, Coughing, Light headedness Swollen, feet or ankle, Excessive urination, Palpitation, Dizziness
Mitral Valve & Mitral Regurgitation- The mitral valve is the valve between the left atrium and left ventricle of your heart. In a normally functioning mitral valve, blood flows in a single direction between the left atrium and left ventricle. When your mitral valve’s two leaflets (two flaps) do not close properly, some blood flow backward through the valve back into left atrium. This is called mitral regurgitation. To compensate and keep blood flowing through the body the left ventricle pumps harder. This strain can lead to heart complication. In some cases, people with leaky valve (Mitral Regurgitation) may never experience symptoms of heart failure. It is important to recognise and consult with your cardiologist or Mitral clip specialist. 57% of people with a leaky valve may not survive 1 year.
Patients who will benefit- Significant primary MR patients who are at prohibited surgical risk & Significant secondary MR patients who remain symptomatic despite maximally tolerated GDMT
Contraindication- Active Mitral valve endocarditis, Mitral valve rheumatic diseases & Patient that has femoral venous, inferior vena cave (IVC), intracardiac thrombus.
Diagnosis of Mitral Regurgitation- Transthoracic echocardiography & Transoesophageal echocardiography
Treatment options- Medication improves your heart’s functioning & reduce symptoms, Mitral valve surgery includes either Mitral valve repair or Mitral valve replacement & Transcatheter Mitral valve repair.
TAVI/TAVR
Transcatheter aortic valve Replacement / Implantation (TAVR/TAVI)-
Transcatheter aortic valve replacement/ implantation is a minimally invasive heart procedure to replace a degenerated stenosed aortic valve that can’t fully open (aortic valve stenosis). It can help restore the blood flow and reduce the signs and symptoms of aortic valve stenosis like chest pain, shortness of breath, fainting & fatigue
Tavi Navitor Valve
Why TAVR/TAVI Done- The aortic valve is located between the left lower heart chamber (left ventricle) and the body’s main artery (aorta). When the heart squeezes (contracts), the aortic valve opens and lets blood flow from the left ventricle into the aorta. When the heart relaxes, the aortic valve closes to prevent blood from moving backward. If the valve does not open correctly blood flow from the heart to the body is reduced.
How this procedure perform – TAVR is done under local anaesthesia with no cut or stiches. Doctors insert a catheter into a blood vessel usually in the groin or chest area and guides it into the heart. TAVR /TAVI is done using smaller incision and a thin flexible tube to reach the heart. Moving X-ray images or echocardiogram pictures help the doctor place the catheter into the correct position. A replacement valve is passed through the hollow catheter and placed in the area of the aortic valve. A balloon on the catheter tip inflates to press the new valve into place. The doctor removes the catheter once the new valve is securely in place.
What is Valve with in Valve – How does it works- During this minimally invasive procedure a new valve is inserted without removing the old, damaged valve. The new valve is placed inside the diseased valve. Once the new valve is expanded it pushes the old valve leaflets out of the way and valve take over the job of regulating blood flow.
Good candidate for this type of valve surgery- Who are at risk of complications from surgical aortic valve replacement open heart surgery, Severe aortic stenosis that cause sign and symptoms in patients beyond 65 yr. of age, A biological tissue aortic valve in a previous open Heart Surgery that is not working as well as it should, Another health conditions, such as lung or kidney diseases which can’t go for open heart surgery, Weak and Fragile patients needs valve replacement.