Key Hole Aortic Valve Surgery – a minimally invasive procedureBy ManuPosted On 01-Feb-2018
Aortic Valve surgery can be performed through keyhole incisions in which either a small portion of the breastbone is divided or in some cases, breastbone division is avoided. The surgery type is decided by the heart surgeon based on the patient’s age, previous surgery, medical history and physical condition.
The benefits of Keyhole valve surgery are small incisions, small scars, less pain, shorter hospital stay, lower risk of bleeding and blood transfusion, lower risk of infection, shorter recovery time. Instead of large cuts, the keyhole gives a cosmetic look.
Over 90% of the aortic valve replacements can be done through the keyhole procedure. This option cannot be preferred when the case is an emergency or the problem associated with CABG.
Key Hole Aortic Valve Surgery is done in the absence of proper function of the aortic valve. Surgery is preferred for the below reasons:
Changes in the aortic valve causes major symptoms such as shortness of breath, sharp chest pain, heart failure
Test result shows the changes in the aortic valve that harm the heart function
Damage occurs to the heart valve from infection
Aortic valve does not close properly that makes blood leaks back to the heart –aortic regurgitation
Aortic valve does not open properly that makes the reduced blood flow out of the heart – aortic stenosis
After doing pre-operative examinations and tests, the heart surgeon will schedule a date for the surgery. The patient is administered with general anesthesia. Through a small cut either in front of the chest or right side of the chest, the heart surgeon sees the patient’s heart, locate the place on aorta where the cut has to be exactly made. Soon after making the cut, the patient is connected to a heart-lung machine in order to stop the heart function. Once the function is stopped, the diseased aortic valve will be removed, the new valve will be sutured, the heart will be made again to beat, and finally, the cuts will be sutured. After the surgery, the patient will be shifted to the Intensive Care Unit to avoid infections.
* Metal or Mechanical valve: It is made from the synthetic materials
* Tissue valves: These valves are made from the tissues of horse, cow or pork. Sometimes the tissues can be taken from the patient’s heart itself or from pericardial tissues.
Based on the patient’s condition and doctor’s opinion, the valve is suggested for replacement.
The patient is advised to take rest at home for another one week and asked to come for a follow-up after discharge. If the progress is found to be satisfactory, then the patient will be advised to revive normal activities along with medications.
Dr. Kuldeep Chulliparambil is a well-renowned and the best heart surgeon in Kerala. He performed more than ten thousand surgeries and he is one of the top heart surgeons in Ernakulam. This best heart surgeon in Cochin successfully performed many heart valve transplantations.
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