Best Mitral Valve Replacement Doctors in India

Here is a list of the most reputed Cardiac Surgeons in India for Mitral Valve Replacement or repair.

Profile Highlights:

  • Dr. Z S Meharwal is a well-known cardiac surgeon in India who has performed over 20,000 cardiac surgeries, including some of the most complex and high-risk cardiac procedures.
  • Dr. Meharwal is a member of the founding team that started the Fortis Escorts Heart Institute and has been associated with the hospital since then.
  • His interest lies in Minimally Invasive Cardiac procedures, valve repair, and replacement, and heart transplants among other major vascular and thoracic surgeries.

Profile Highlights:

  • Dr. Anil Bhan is an excellent Cardiovascular and thoracic surgeon who has performed more than 15,000 cardiac and vascular surgeries that include heart transplant surgery, aortic aneurysm surgery, pediatric cardiac surgery, valve repairs, and peripheral vascular surgery among several others.
  • He is one of the best pediatric cardiac surgeons in Delhi/ NCR and is credited with performing heart bypass surgery on the youngest patient in India in 2007 (18 months).
  • He performed the first extracorporeal membrane oxygenation and was the first to use a harmonic scalpel for harvesting radial mammary artery conduits in India in 2000 and 1995 respectively.

Profile Highlights:

  • Dr. Naresh Trehan is one of the most highly skilled and globally recognized cardiothoracic and vascular surgeons.
  • He started his career as a Cardiac Surgeon at New York University Medical Centre where he performed over 3000 coronary artery surgeries and returned to India in 1988 and founded the Escorts Heart Institute and Research Center in New Delhi.
  • Dr. Trehan is the Founder Chairman of Medanta- The Medicity in Gurugram, a premier multi-specialty hospital with state-of-the-art infrastructure and equipped with the latest and advanced technologies.
Dr. Mukesh Goel
Senior Consultant, Cardio Thoracic and Vascular Surgery Indraprastha Apollo Hospital, New Delhi

Profile Highlights:

  • Dr. Mukesh Goel is a reputed Cardio-Thoracic and Vascular surgeon serving as a Senior Consultant of the specialty at Indraprastha Apollo Hospital, New Delhi.
  • He carries an experience of 16+ years and has performed more than 3000 different cardiac surgeries. Dr. Mukesh Goel is constantly on the lookout to develop new and innovative techniques to perform cardiac procedures that help in quick recovery with minimum incisions.
  • His expertise lies in on and off-pump bypass surgeries and also finds interest in beating heart bypass surgery, open-heart surgery, minimally invasive heart valve surgery, and pediatric cardiac surgery among several others.
  • Dr. Mukesh Goel received his training in CTVS from one of the most renowned cardiac surgeons in India, Dr. Naresh Trehan, and has been using the exposure to perform various advanced and complex heart surgeries.
  • Before joining Indraprastha, Dr. Goel has been associated with other prestigious heart centers in India like Escorts Heart Institute, Apollo Hospital in New Delhi, and Medanta in Gurugram where he helped in starting the Heart surgery unit.
  • He frequently gets invited to attend cardiology conferences and seminars to deliver lectures and present papers. He also regularly takes part in workshops and CMEs for cardiac surgeries.
  • Dr. Mukesh Goel is a keen researcher and has published a number of papers and articles on CTVS in renowned national and international medical journals.

Profile Highlights:

  • Dr. Sandeep Attawar is a highly recognized Heart and Lung transplant surgeon in India who has over 2 decades of experience as a cardiac surgeon and has performed more than 10,000 cardiac surgeries on adult and pediatric patients.
  • Dr. Attawar specializes in all types of surgeries for adults as well as pediatric heart patients and finds interest in heart and lung transplant surgery, congenital heart surgery, Aortic aneurysm repair, and implantation of heart failure devices.

Profile Highlights:

  • Padma Bhushan awardee Dr. Girinath M R is a senior cardio-thoracic Surgeon in Chennai having experience of more than 45 years in Cardiac Surgery.
  • Dr. M R Girinath was a fellow of Coronary Artery Surgery and Congenital Heart Surgery at the University of Wisconsin, USA.
  • He provides consultation and diagnostic services for Mitral/Heart Valve Replacement, Cardiac Pacing, Invasive Cardiology, ABPM, Balloon Mitral Valvuloplasty, CT Angiography, etc.

Profile Highlights:

  • Dr. Neville Solomon is one of the best Cardiothoracic Surgeons in South India.
  • Dr. Neville Solomon heads the Cardiology unit; his team has performed over 6000 heart operations to date, including 3000 congenital cardiac surgeries in newborns and adults
  • In addition to this, Dr. Solomon runs the Save a Child’s Heart Initiative (SACHI) Program with his associates at Apollo Hospital.

Profile Highlights:

  • LF Sridhar is a well-known Cardiothoracic & Vascular Surgeon in Chennai, now working at Apollo Hospital in Greams Road, Chennai, and has an experience of 37 years in this arena.
  • Some of the services available with the doctor are Mitral/Heart Valve Replacement, Cardiac Pacing, and Intra – Arterial Thrombolysis, Pacemaker Implantation, and bypass surgery besides the regular OPD procedures.

Profile Highlights:

  • Dr. K Madhan Kumar is a well-known Cardiac Surgeon in Tamil Nadu, having many years of experience in the domain.
  • His experience came from practice and teaching. These days, he is associated with Apollo Hospital Greams Road in Chennai as a Senior Consultant Cardiothoracic & Transplant Surgeon.
  • Dr. Kumar has also completed Fellowships in Cardiothoracic Surgery at SGH in London as well as ECMO, VAD, and transplantation at HH in London.

Profile Highlights:

  • Dr. Kulbhushan Singh Dagar, a pioneer and an expert in the cardiology field earned his reputation through his exceptional performance in the field of complex congenital heart defects, especially for newborns.
  • With over 29 years of experience, Dr. Dagar has dedicatedly performed complex surgical procedures by implementing innovative techniques and cutting-edge technologies in his procedures and is currently considered an asset to the cardiac industry, not just nationally, but internationally too!

Best Mitral Valve Replacement Hospitals in India

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Gleneagles Global Hospitals, Chennai

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Fortis Hospital, Mulund, Mumbai

Hospital Highlights:

  • Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
  • This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
  • Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.

Kokilaben Dhirubhai Ambani Hospital, Mumbai

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Mitral Valve Replacement

A mitral valve replacement is performed for replacing a poorly working mitral valve with an artificial one. The heart has four valves, and the mitral valve is one of them. This organ, which lies between the left atrium and left ventricle, helps the blood to flow, through the heart and out to the body.

Indications of Mitral valve replacement

Several types of mitral valve diseases exist. In mitral valve regurgitation, the flaps of the mitral valve don’t close properly, which can cause blood to leak backward into the left atrium. This commonly occurs due to valve leaflets bulging back, a condition which is known as mitral valve prolapse.

Another condition exists, which is known as mitral valve stenosis, where the leaflets become thick or stiff, which can make them fuse together. This can result in the valve opening getting narrowed, which causes a reduction in the blood flow through the valve.

The doctor will generally try to repair your mitral valve, but when a repair is no longer possible then mitral valve replacement is considered.

Purpose

This procedure is required if your heart’s mitral valve is not working properly. Surgical repair is possible, though sometimes the valve needs a replacement.

First, your doctors will need to check how serious your condition is and if you are experiencing any symptoms. If your condition is too serious, your doctor might be recommending mitral valve repair or replacement. However, if your condition is mild you might not need any surgery.

Your doctor will next need to discuss with you whether mitral valve repair or mitral valve replacement is the most appropriate for you. Doctors generally recommend mitral valve repair but if they see that it is no longer possible, they will need to perform mitral valve replacement. Doctors might next evaluate which method is best for you: Minimally invasive heart surgery or open-heart surgery.

Preparation

Before the surgery for having your mitral valve repaired or replaced, your doctor and treatment team will need to explain to you, what exactly you can expect before and after the treatment. He/she will also discuss any potential risks. If you have any questions, it is important to discuss them with the doctor and the treatment team. You will also receive instructions that you will need to follow during your recovery time.

You might need a few tests as recommended by your doctor. This can include Chest X-ray, electrocardiogram, echocardiogram, blood tests, coronary angiogram.

Talk to your doctor regarding when you should take your regular medications, and whether you should take them before the surgery. You might also need to stop eating or drinking the night before the surgery.

You will also need to bring clothing and any personal items such as eyeglasses, hearing aids, toothbrush, comb, etc.

Test done before Mitral Valve Replacement

Electrocardiogram

Electrocardiogram- Electrodes are placed on chest or the limbs to record heart’s electrical impulses.

Stress test

In Stress test, an electrocardiogram is taken before and immediately after walking on a treadmill.

Echocardiogram

Echocardiogram is a non-invasive test in which sound waves allows the doctor to see the heart without making an incision.

Chest X-Ray

Chest X Ray helps to see the condition of the heart.

Cardiac catheterization

Cardiac catheterization involves the insertion of a thin, flexible tube (catheter) into a blood vessel through groin and is pushed forward to the heart. With the help of this test the doctors can diagnose congenital heart defects, check pumping of heart and function of the heart valves

Procedure

ICU Image

First, you will be sedated before the surgery, with general anesthesia. Therefore, you will be in deep sleep during the procedure and won’t feel any pain.

The operation generally takes several hours. During the procedure, you will be connected to a heart-lung bypass machine, which will keep your blood moving through your body.

First, an incision is made, down the middle of your chest. The doctor will need to separate your heart, to access your breastbone.

Then the surgeon will remove the current mitral heart valve, after which he/she will replace it with a new one. After this is done successfully, the heart-lung machine will be removed, and your breastbone will be wired back together. Then your team will sew or staple the incision in your skin back together again.

If you receive a mechanical valve, you will require blood-thinning medications for the rest of your life for preventing any blood clots. Doctors will be discussing with you all the risks and benefits of each type of valve. He/she will also be discussing which valve is most appropriate for you, before your procedure.

Aftercare

You will be spending a day or more in the ICU. During this time, you will receive fluids, nutrition and medications through intravenous (IV) lines. Other tubes will be draining your urine from the bladder as well as fluid and blood from your heart and chest. You might also be given oxygen.

Next, you will be moved to a regular hospital room for some days. Depending on your condition and the type of surgery you went through, the time you spend in the ICU and hospital will vary.

Your condition will be monitored by your treatment team. They will watch for any signs of infection in your incision sites. Your team might also need to check your blood pressure, heart rate and breathing. Your treatment team will be working with you to manage any pain that you might experience after the surgery.

Your treatment team might instruct you to walk regularly and increase your activity gradually. They might also recommend breathing exercises as you recover.

Your doctor will also be giving you instructions that you will need to follow during your recovery. You will need to be watching for any sign of infection in your incisions, properly caring for the incisions, taking the required medications and managing pain and any side effects after the surgery.

Results

After mitral valve replacement surgery, within a few days you should be able to return to your daily routines, such as work, exercise or driving. Your doctor will be discussing with you when it is okay for you to resume your activities.

You will need to regularly attend follow-up appointments with your doctor. Several tests might be required to evaluate as well as monitor your condition.

Your doctor will likely recommend you to incorporate healthy lifestyle changes. This can include a healthy balanced diet, physical activity, stress management, and avoiding the use of tobacco.

Recovery & risks

The majority of the people who have an open mitral valve replacement usually end up with a successful outcome. However, there are a few risks. Based on your overall health, your particular risks will vary. Make sure that you talk with your doctor if you have any concerns.

Some of the risks include:

  • Infection
  • Blood clots leading to a heart or a stroke
  • Bleeding
  • Heart rhythms getting irregular
  • Complications from anesthesia
  • Memory loss or problems with concentration
  • Continued leaking of the valve
  • Damage to your nearby organs

 

There are a few factors which increase the risk of complications:

  • Chronic illness
  • Heart conditions
  • Lung problems
  • Infections
  • Increased age
  • Being obese
  • Smoking

FAQs

What is the recovery time for a mitral valve replacement?

It takes 4-8 weeks to recover fully from mitral valve replacement surgery.

What is the survival rate for mitral valve replacement surgery?

The survival rate for mitral valve replacement surgery is about 94% with good surgeons.

How many years does a mitral valve repair last?

The patients are free of operation for at least 10 years after mitral valve replacement surgery.

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