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Aortic Valve Replacement Aortic Valve Replacement

Aortic Valve Replacement

  • Starting Price: $5,500.00
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About “Aortic Valve Replacement”

Aortic Valve Replacement

Aortic Valve Replacement is a kind of open heart surgery used to treat problems with the heart’s aortic valve. It includes eliminating defective and damaged valves and replacing them. During surgery, the damaged valve is removed and replaced with an artificial valve. Valve replacement is primarily performed through open-heart surgery. In some cases, minimally invasive surgery or a catheter procedure may be necessary.

  • Aortic Stenosis – When the opening of the valve becomes smaller, obstructing the flow of blood out of the heart.
  • Aortic regurgitation – When the valve is cracked. It allows blood to flow back directly into the heart.

 

Signs of Heart Failure requiring Replacement

  • Shortness of breath.
  • Angina
  • Dizziness
  • Fainting
  • Swelling of the ankles, feet, and legs.
  • Fatigue

 

Diagnosis

Physical Exam

  • Using a stethoscope, listen for a heart barbell that is caused by a heart valve problem.
  • Your doctor will examine the fluid in your lungs.
  • Swelling of the ankles and other symptoms of water retention will be checked.

Diagnostic Tests

Echocardiography (Echo) – It is an effective test to diagnose heart valve disease.

Transesophageal Echo or TEE – It is used to get the most accurate image of your heart.

Electrocardiogram (Echo) – It is used to diagnose uneven heartbeats and symptoms of an early heart attack.

Chest x-ray – It is used to see the enlargement of the heart or fluid in the lung or calcium deposits in the heart.

Cardiac Catheterization Stress Testing or Cardiac MRI – A doctor can use it to determine the severity of your condition and provide treatment accordingly.

Types of  Aortic Valve Surgery  

  • Open Aortic Valve Replacement via Sternotomy – In this case, the damaged aortic valve is repaired by surgery.
  • Transcatheter Aortic Valve Implantation (TAVI) – Instead of a large chest incision, the replacement valve is managed through the blood vessels within the chest.
  • Minimally Invasive Cardiac Surgery (MICS).

 

Procedure for Aortic Valve Replacement

 

Before procedure

  • Standard blood tests are done to check the ability for surgery.
  • Patients are advised about the procedure and its aftercare.

 

During Procedure

  • The procedure is done under general anesthesia.
  • An IV line and a breathing tube are inserted. A catheter is inserted into the bladder.
  • A cut is made in the central part of the chest. The surgeon separates the sternum to reveal the pericardium and then opens the pericardium to reveal the heart.
  • The heart is connected to a heart-lung machine. During the operation, tubes move blood to a machine that covers the functions of the heart and lungs.
  • Heat is temporarily stopped and blood is eliminated. The aortic valve is motionless, allowing the surgeon to observe.
  • Surgeons open the aorta to examine the aortic valve. It makes a cut all over the sides of the damaged valve and restores it.
  • Afterward, the surgeon closes the aorta with stitches. In order to observe the heart’s function, blood flows into the heart. Sometimes an electric shock is given to the heart to restart it.
  • Temporary pacemakers are attached to the outside of the heart to ensure a normal heartbeat.

 

After Procedure

  • After an aortic valve replacement, you will generally be required to stay in the hospital for around a week.
  • You will be kept in the intensive care unit (ICU) for the first day or two after your operation before moving to a surgical ward.
  • The activity of your heart, lungs and other body functions will be closely monitored. Wires will be attached to sensor pads to measure your heart rate, blood pressure and blood flow, and airflow to your lungs.
  • You will be given painkillers.
  • You will be attached to a ventilator until you can breathe.
  • You may have various tubes and monitors connected to you.

Draining tube – A small tube is connected to your chest to drain away the spread of blood or fluid.

Pacing wires – If it is necessary, these wires will be inserted near the chest drains to manage the heart rate.

After Care

  • Advised to follow a cardiac rehabilitation program.
  • It is advised to avoid strenuous physical activity, high levels of stress, and heavy lifting for three months.
  • You are not allowed to drive for about six weeks.
  • You asked your doctor if any kind of signs of infection were seen.

 

Risks of Aortic Valve Replacement Surgery

  • Aortic valve replacement is a big surgery and it may have some complications like other surgeries. It increases with the age and health condition of the patients.
  • Infection – It increases the risk of wound infections, lung infections, bladder infections, and heart valve infections.
  • Excessive bleeding
  • Blood clots
  • Stroke
  • The valve may wear out.
  • Temporary arrhythmia (irregular heartbeat).
  • Kidney problems for a few days after surgery.
  • A valve that fails – There is a small chance that the valve will not work.

 

Factors Affecting Cost Of Aortic Valve Replacement

The cost of the patient depends on a variety of factors:

  • The hospital, the patient chooses.
  • Room – Quality single room, luxury room, super luxury room for the number of nights identified (it includes a nursing fee, meals, cost of the room, and room services).
  • Doctors’ fees and OT charges.
  • Cost of medications.
  • Standard test and diagnostic procedures.
  • The cost of the valve selected.
  • Cost of protection and care needed during and after surgery.

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Heart Surgery

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