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Valve All
Aortic valve repair in India: economical and benefits
Aortic valve repair in India is a surgical procedure used to correct some aortic valve disorders as an alternative to aortic valve replacement. Indian medical tourism offers our clients the most affordable range of medical treatments, with extremely competent, highly respected Indian medical specialists. Along with this, we also offer our patients to rest and recuperate in one of the worlds most sought after & beautiful beach side city. India boasts of several good private owned hospitals in Goa, Delhi, Kerala, and Agra with facilities second to none. They have some of the best specialist doctors, with most top end being educated in USA and UK. People prefer Aortic valve repair surgery in India because it is available at various hospitals where the surgeon and there team dedicated to bring smile on there patience face.
Aortic valve repair in India is a cardiac surgery procedure in which a patient's aortic valve is replaced by a different valve. The aortic valve can be affected by a range of diseases; the valve can either become leaky (aortic insufficiency / regurgitation) or partially blocked (aortic stenosis). Aortic valve replacement currently requires open heart surgery. Aortic valve repair is nearly exclusively limited to patients with aortic regurgitation (AR) without a component of stenosis. Patients considered for repair are generally young who wish to avoid anticoagulation and would be expected to outlive a tissue valve should replacement be considered. In order to perform this operation, the cusps must be thin and flexible without calcifications. Most repairs result in downsizing the effective orifice area in order to increase coaptation with the available cusp area. There is a resultant increase in aortic valve gradient and this must be anticipated when evaluating patients preoperatively. The decision to repair an aortic valve is made by weighing the risk of repair failure versus the benefit of avoidance of oral anticoagulation therapy.
There are two basic types of artificial heart valve surgery are available in India: mechanical valves and tissue valves.
Tissue valves: Tissue heart valves are usually made from animal tissues, either animal heart valve tissue or animal pericardial tissue. The tissue is treated to prevent rejection and calcification. There are alternatives to animal tissue valves. In some cases a homograft - a human aortic valve - can be implanted. Homograft valves are donated by patients and harvested after the patient dies. The durability of homograft valves is probably the same for porcine tissue valves. Another procedure for aortic valve repair is the Ross procedure (or pulmonary autograft). In a Ross procedure, the aortic valve is removed and replaced with the patient's own pulmonary valve.
Mechanical valves: Mechanical valves are designed to outlast the patient, and have typically been stress-tested to last several hundred years. Although mechanical valves are long-lasting and generally only one surgery is needed, there is an increased risk of blood clots forming with mechanical valves. As a result, mechanical valve recipients must generally take anti-coagulant (blood thinning) drugs such as warfarin for the rest of their lives, which makes the patient more prone to bleeding.
Valve selection: Tissue valves tend to wear out faster with increased flow demands - such as with a more active (typically younger) person. Tissue valve typically last 10-15 years in less active (typically elderly) patients, but wear out faster in younger patients. When a tissue valve wears out and needs replacement, the person must undergo another valve replacement surgery. For this reason, younger patients are often recommended mechanical valves to prevent the increased risk (and inconvenience) of another valve replacement.
Surgical procedure:
In India, surgeons went through lots of research about aortic valve repair surgery and practiced with some great surgeons in US, UK. Aortic valve replacement is most frequently done through a median sternotomy, meaning the incision is made by cutting through the sternum. Once the pericardium has been opened, the patient is placed on cardiopulmonary bypass machine, also referred to as the heart-lung machine. This machine takes over the task of breathing for the patient and pumping their blood around while the surgeon replaces the heart valve.
Once the patient is on bypass, an incision is made in the aorta and a crossclamp applied. The surgeon then removes the patient's diseased aortic valve and a mechanical or tissue valve is put in its place. Once the valve is in place and the aorta has been closed, the patient is taken off the heart-lung machine. Transesophageal echocardiogram (TEE, an ultra-sound of the heart done through the esophagus) can be used to verify that the new valve is functioning properly. Pacing wires are usually put in place, so that the heart can be manually paced should any complications arise after surgery. Drainage tubes are also inserted to drain fluids from the chest and pericardium following surgery. These are usually removed within 36 hours while the pacing wires are generally left in place until right before the patient is discharged from the hospital.
Cardiopulmonary Bypass:
Cardiopulmonary surgeons in India are very well experienced in aortic valve repair surgery. The described from the expertise are:
Cardiopulmonary bypass is established with a distal ascending aorta arterial cannula and a double-state venous cannula via the right atrium. The patient is kept normothermic. The left ventricle is vented via a right superior pulmonary vein approach. Cardioplegia is first administered retrograde via a coronary sinus catheter and subsequent antegrade cardioplegia can be administered directly into the coronary ostia via a soft ostial cannula.
Hospital stay and recovery time:
Surgeons in India, suggest for the patients of aortic valve repair surgery. Immediately after aortic valve replacement, the patient will frequently stay in a cardiac surgery intensive care unit for 12-36 hours. Total time spent in hospital following surgery is usually between 4 and 10 days, unless complications arise.
Recovery from aortic valve replacement will take 1-3 months if the patient is in good health. Patients are advised not to do any heavy lifting for 6-8 weeks.
Outcome and Risk of procedure:
Surgeons of India, describe some of the risk and outcomes of aortic repair surgery. The risk of death or serious complications from aortic valve replacement is typically quoted as being between 1-5%, depending on the health and age of the patient, as well as the skill of the surgeon. Older patients, as well as more fragile ones, are sometimes ineligible for surgery because of elevated risks.
Hospitals in India at Kerala, Agra, Delhi and Goa serve patients with excellent quality by providing the finest clinical integration of patient care and respecting to the customer satisfaction under efficient management and provide intensive follow up care and monitor progress to make sure the outcome of surgery meets with patients expectation. India is famous for being a tropical holiday destination, but in addition to the sun, sand and beautiful beaches, offers an opportunity to have high standard Aortic valve repair surgery in India in a relaxed atmosphere at affordable cost, where you can make recovery while enjoying famous Indian hospitality, the scenery, excellent hotels and fabulous restaurants, which can make you feel like you are in your own island paradise. To get more information about Aortic valve repair surgery in India, please log on to: www.indiacardiacsurgerysite.com or mail your queries at info@indiacardiacsurgerysite.com, +91-9579119451
About the Author
do all airbeds have the same valve opening? what adapter do i need to add to an ordinary bicycle pump?
Will this work on all airbeds?
I strongly recommend that you do not use a bicycle pump for the task. A bicycle tire is a much smaller volume than an air mattress. The best air mattress pump for speed of filling that I have found is the rechargeable Coleman.
Valve Part 2: Half-Life's Afterlife