Docs save life with rare heart valve procedure
Apollo Hospitals
.
Back then, she survived acute
aortic dissection
with a complex surgery that replaced her damaged aortic valve and root with a tissue valve. Over the years, that valve narrowed dangerously, demanding urgent replacement.
Normally this could be managed through a minimally invasive Transcatheter Aortic Valve Implantation (TAVI) via the femoral artery in the leg.
However, her situation was far from routine - a chronic Type B aortic dissection left her aorta with two channels, a "true" and a "false" lumen, the latter being larger.
This made reaching the heart with catheters extremely risky. Open-heart surgery was ruled out due to the high danger posed by her age, frailty and the residual dissection.
Faced with these obstacles, a multidisciplinary team from Apollo's Heart Valve and Aortic Program - led by Dr. Gautam Naik and Dr. Niranjan Hiremath - devised a plan for a rare and complex
trans-femoral Valve-in-Valve
TAVI procedure
. Such cases have been reported only in isolated instances worldwide.
After meticulous planning and advanced imaging guidance, the 3.5-hour procedure was performed entirely through the femoral artery.
A 23 mm Navitor Vision (Abbott) transcatheter heart valve was successfully implanted, restoring healthy blood flow. The patient recovered well and was discharged in stable condition on the fifth day. A minor new false lumen detected after the procedure was managed conservatively with strict blood pressure control.
"In complex heart disease, success often depends on finding safe, innovative solutions tailored to the patient," said Dr. Naik.
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