Best Doctors in India for Marfan syndrome Treatment

Profile Highlights:

  • Dr. Hemant Madan is an experienced and accomplished cardiologist, with a professional experience of around 20 years.
  • His expertise includes all aspects of cardiology, including pediatric cardiology, complex coronary interventions, device implantation, all kinds of rhythm disorders, percutaneous treatment of valve stenosis, and peripheral interventions.
  • Dr. Madan pursued his Fellowship at the Royal College of Physicians from Edinburgh in UK.

Profile Highlights:

  • Dr. Rachit Saxena is an experienced cardiac surgeon, who is known for his extreme dedication to his profession, and for providing absolute patient satisfaction.
  • Supported by an efficient cardiac surgical team, Dr. Saxena is known for successfully managing the most complex of cardiac surgical problems.
  • Dr. Rachit Saxena is known especially known for the capability to perform cardiac surgery with minimal blood requirement and ensure early mobilization and return to work.

Profile Highlights:

  •  Dr. T Sundar is one of the best cardiothoracic surgeons in India.
  • He is having extensive exposure to critical heart diseases and he has operated on them successfully.
  • Dr. T Sundar is a Senior Consultant at Apollo Hospitals since 2003.
  • He has been associated with international standards of surgery and diagnosis since his education period.

Profile Highlights:

  • Dr. N Sastri is a renowned cardiothoracic surgeon in India with extensive experience in critical heart surgeries.
  • He has nearly 36 years of experience and is a senior consultant- Cardiothoracic & Vascular Surgery with Indraprastha Apollo Hospitals, New Delhi.
  • Dr. Sastri specializes in the diagnosis and treatment of vascular disorders using advanced techniques. He has expertise in Total Anomalous Pulmonary Venous Connection Repair, Arterial and Ventricle Defects Surgery, Cardiac Resynchronization Therapy, Balloon Valvuloplasty, CABG LV restoration, PDA Device Closure, PPI, Valve Replacement, and Atrial Fibrillation Surgery.
  • Over the years’ Dr. Sastri had treated patients across various countries. In addition to the adult and neonatal cardiac surgeries, he is involved in research and put out many research papers in different medical journals.

Profile Highlights:

  • Dr. Prashanta Kumar Ghosh is a senior cardiologist at Indraprastha Apollo Hospital in New Delhi with experience of nearly 47 years in the field.
  • Dr. Ghosh has expertise in testing and monitoring cardiac problems. The procedures mainly include minimally invasive cardiac surgery, implantations, device closure for congenital heart diseases, cardiac catheterization, Carotid Angioplasty, Stenting, etc. Half of his experience came from practicing non-invasive cardiology.
  • He has so far performed nearly 3 lakh Echos as well as thousands of Doppler and Trans Esophageal Echos in his professional journey.
  • Dr. Ghosh has participated in many studies and published papers in various conferences and journals. He also delivers lectures to the students of many institutions across India and abroad.

Profile Highlights:

  • Dr. Abraham Oomman is one of the best Cardiologists in Chennai, having an experience of 31 years in this field.
  • Dr. Oomman offers consultation and also performs cardiac procedures. He specializes in Preventive Cardiology, Interventional Cardiology, Rheumatic Heart Disease, and Lipidology.
  • Patients also visit him for ASD and VSD Surgery, Dextro-Transposition of the Great Arteries (DTGA), Minimally Invasive Cardiac Surgery, and Vascular Surgery.

Profile Highlights:

  • Dr. Refai is a world-renowned cardiologist who practices at Apollo Hospital in Greams Road, Chennai.
  • Dr. Refai completed advanced training in the United Kingdom after finishing his medical degrees in India.
  • He specializes in Angioplasty (Stent implantation), Implantable Cardioverter-Defibrillators (ICDS), Transradial Rotablation, Chronic Total Occlusion Angiography, Pacemaker, Cardiac Invasive Procedures, Bypass Surgery, and other cardiovascular procedures.
  • He was involved in many TAVI-related studies at King’s College Hospital in London, and a heart failure pilot trial at The Essex.

Profile Highlights:

  • Dr. I Sathyamurthy is a veteran Cardiologist and has an experience of more than 38 years in Interventional Cardiology.
  • Dr. Immaneni Sathyamurthy is a distinguished personality who bagged Padma Shri, the fourth-highest Indian civilian award. In addition to it, he was conferred many awards for his contribution to the medical sciences.
  • He has over 250 publications to his credit, some of these are used as textbooks in medical courses.

Profile Highlights:

  • Dr. Karthigesan A M is a renowned Interventional Cardiologist with more than two decades of experience.
  • He completed advanced training in cardiac arrhythmia in the USA to serve his patients in a better way.
  • Dr. A M Karthigesan received several awards from prestigious associations for his contribution to the field.
  • Dr. Karthigesan authored several research papers and articles in premier periodicals and presented papers at national conferences.

Profile Highlights:

  • Dr. Asha Mahilmaran is a seasoned Interventional Cardiologist in Chennai, with more than three decades of expertise in the sector.
  • She excelled in academics and was awarded a gold medal in medicine and cardiology.
  • Dr. Mahilmaran offers Ventricular Septal Defect Surgery, Cardioversion, Carotid Artery Disease, Chest Pain Treatment, Cardiac Ablation, and Dextro-Transposition of the Great Arteries (DTGA), etc.
  • Over the years, she has performed over 15,000 preventive heart checkups.

Best Hospitals in India for Marfan syndrome Treatment

Marfan Syndrome

Marfan syndrome is an inherited disorder, which affects the connective tissue in the body, which gives support and strength to various parts of the body such as cartilage, blood vessels, etc. This syndrome usually affects the eyes, blood vessels, the heart and the skeleton.

Usually tall and skinny people are victims of this syndrome. They might also have disproportionately long arms, fingers, legs and toes. Sometimes this ailment can be mild and at other times, quite severe. The large blood vessel which carries blood from your heart to the rest of the body is called the aorta. If this gets affected, your condition might be life-threatening.

Treatment for Marfan syndrome usually includes medications to help keep the blood pressure low, to reduce strain on the aorta. It is also important to monitor it regularly and check for damage progression. Most people suffering from this ailment eventually require preventive surgery for repairing the aorta.

Symptoms of Marfan Syndrome

These signs and symptoms of this illness can vary greatly, even among family members. Though some people experience only mild effects, others can develop life-threatening complications. In many cases, the disease also gets worse as one age.

Some of the symptoms of Marfan syndrome:

  • Tall and Slender Build
  • A breastbone protruding outward or dipping inward
  • Disproportionately long arms, fingers, and feet
  • Heart murmurs
  • Extreme nearsightedness
  • Abnormally curved spine
  • Flat feet

Causes and risk factors

Marfan syndrome is caused by a change in the gene which controls how the body makes fibrillin, which is an essential part of connective tissue that can help to make it strong and elastic.

Marfan syndrome happens equally among both genders. In most cases, this ailment is inherited from a parent. People with this ailment have a 50% risk of passing down to their offspring. In some people with this syndrome, the gene changes without a clear cause.

Diagnosis of Marfan Syndrome

Marfan syndrome can be quite challenging for doctors to diagnose, as many connective tissue disorder have similar signs and symptoms. Even among some members of the same family, the signs and symptoms of Marfan syndrome vary widely, both in features as well as severity.

Certain combinations of symptoms and family history need to be presented to confirm a diagnosis of Marfan syndrome. In some cases, a person might have some features of Marfan syndrome, though not enough of them for a diagnosis of the syndrome.

Heart Tests

When a doctor suspects Marfan syndrome, usually the first test that is recommended is an echocardiogram. With the use of sound waves, this test captures real-time images of your heart in motion. It checks the condition of your heart valves as well as the size of your aorta. There are also other heart imaging options such as computerized tomography scans as well as magnetic resonance imaging.

If you are diagnosed with Marfan syndrome, regular imaging tests will be required for monitoring the size and condition of your aorta.

Eye Tests

Eye exams that might be needed can include:

  • Slit-lamp exam- This test checks for lens dislocation, a detached retina as well as cataracts. For this exam, your eyes will have to be dilated as well.
  • Eye pressure test- To check for signs of glaucoma, your eye doctor might measure the pressure inside your eyeball by touching it with some kind of special tool. Usually, before this test, numbing eye drops are used.

Genetic Testing

Genetic testing is also often used for confirming the diagnosis of Marfan syndrome. If a Marfan mutation is found, family members can also be tested, to see if they are affected as well. You might consider talking to a genetic counselor, before you start a family, to see your chances of passing on Marfan syndrome to your future children.

Treatment options for Marfan Syndrome

There is no known permanent cure for Marfan syndrome and the treatment focuses on preventing the various complications of the ailments. For achieving this, you need to be checked regularly for signs that the damage caused by the disease is progressing.

In the past, people suffering from Marfan syndrome usually died young. But with modern treatment as well as regular monitoring combined, people suffering from this syndrome can live up to a normal life span.

Medications

Doctors usually prescribe blood pressure-lowering drugs for helping prevent the aorta from enlarging as well as to reduce the risk of dissection and rupture.

Therapy

The vision problems which can be caused due to a dislocated lens in the eye can also often be corrected with glasses or contact lens.

Surgery and Other Procedures

Depending upon the signs and symptoms, procedures might include:

Aortic repair

Surgery Image

If you aorta’s diameter reaches around 2 inches or if it enlarges quickly, your doctor might recommend an operation for replacing a portion of your aorta with a synthetic tube. This will help to prevent a rupture which can be life-threatening. Your aortic valve might also require replacement.

Scoliosis treatment

When there is significant scoliosis, a consultation with a spine expert is important. In some cases, bracing and surgery might be needed.

Breastbone corrections

For correcting the appearance of a sunken or protruding breastbone, one can choose to go for surgery. However, one should remember that these operations are considered to be for cosmetic purposes and therefore, your insurance may not cover your costs.

Eye Surgeries

If parts of the retina have torn or come loose from the back of your eye, surgical repair can be successful. If you are having cataracts, the clouded lens can be replaced with an artificial one.

Complications

Marfan syndrome can affect several parts of the body, leading to various kinds of complications, some of them including-

  • Damage to the aorta: This can be considered one of the biggest threats of Marfan syndrome. Your aorta is the artery that carries blood from your heart to the rest of your body. Marfan syndrome can break open the aorta’s inner layers and cause dissection or bleeding in the wall of the vessel. Aortic dissection might be deadly. You might also require surgery for replacing the aorta’s affected parts.
  • Mitral valve prolapse: Some people who suffer from Marfan syndrome also have a condition that causes billowing of the heart valve. This may be linked with uneven or rapid heartbeats as well as shortness of breath. It might need surgery.
  • Lens dislocation: The lens in our eye, which focuses on your vision, might move out of place, which leads to a condition called ectopia lentis.
  • Glaucoma or cataracts: Marfan syndrome can increase your chances of getting eye ailments like cataracts or glaucoma at an early age.
  • Skeletal issues: People with this syndrome are also more likely to have a curved spine, unusual ribs, back pain and foot pain.
  • Pregnancy complications: Because pregnancy increases the amount of blood in the body and aorta which is weakened by Marfan syndrome is at a higher risk of a rupture or dissection during pregnancy.

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