Mumbai's wife is the oldest to undergo a pulmonary valve replacement

MUMBAI: A 76-year-old Mumbai woman became the oldest patient in the country to undergo a (TPVR), a minimally invasive procedure that allows the weaker and elderly to avoid complications associated with open heart surgery.

The pulmonary valve is one of the four valves that regulate the flow of blood within the heart; This valve regulates blood flow between one of the upper and lower chambers of the heart. Due to age or disease, the pulmonary valve may need repair or replacement and, although this can only be done by cutting the chest until a few years ago, there is now a newer technique that does not need cuts. In the new method called transcatheter pulmonary valve replacement, the doctor inserts a catheter into a large blood vessel in the groin or chest and guides it to the heart. A new expandable balloon replacement pulmonary valve is then deployed at the end of the catheter.

Mumbai has witnessed six POSs carried out in the last year. The patient over 76 years old was born with a hole in the heart and narrowing of the pulmonary valve. The doctors who operated on her said that she led an asymptomatic life until she was 30 years old and began experiencing difficulty breathing and easy fatigue thereafter. He has undergone two open heart surgeries to repair the hole, dilate the narrow pulmonary valve and replace the diseased valve.

Three years after his surgical valve replacement, he underwent a balloon dilation procedure in 2015 to re-narrow the surgically implanted artificial pulmonary valve, according to cardiologists and.

A month ago, his patient arrived at the Reliance hospital with complaints of dyspnea. Doctors noted that his artificial pulmonary valve had developed severe narrowing and calcification. In addition, since it weighed only 39 kg, it was at high risk of complications from open heart valve surgery, which led doctors to suggest TPVR.

Doctors said that given the delicate health of the patient and the scars of previous surgeries, there was a risk of triggering a heart attack while the new procedure was performed. However, proper planning helps make the procedure a success.

The patient was not only removed from the ICU within 24 hours after the procedure, but was discharged within 48 hours, hospital officials said.

In the last 10 months, the team of Dr. Dalvi and Dr. Parekh and the H N Reliance hospital are the only certified center in the country that performs POS using the Melody valve.