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Mics Mitral Valve Surgery

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Mitral Valve Replacement Surgery in Bangalore

Advanced MICS Mitral Valve Surgery with Superior Outcomes

As a leading specialist in mitral valve replacement surgery in Bangalore, Dr. Sudarshan performs complex mitral valve procedures through small keyhole incisions, offering patients faster recovery, minimal scarring, and excellent long-term outcomes.

The mitral valve controls blood flow between the left atrium and left ventricle, and when diseased, requires expert surgical intervention. Dr. Sudarshan's advanced MICS mitral valve replacement technique provides the most sophisticated treatment available in Bangalore.

Mitral Valve Replacement surgery in bangalore

Understanding Mitral Valve Disease

When Do You Need Mitral Valve Replacement?

The mitral valve may require replacement when repair is not possible or when the valve is severely damaged. Mitral valve replacement surgery becomes necessary in cases of:

Mitral Valve Stenosis (Narrowing)

  • Valve leaflets become thick and calcified, restricting opening
  • Reduced blood flow from the left atrium to the left ventricle
  • Left atrial enlargement due to increased pressure
  • Progressive condition leading to heart failure if untreated
Mitral Valve Regurgitation (Leakage)
  • Valve leaflets don't close properly, allowing blood to leak backwards
  • Volume overload on the left ventricle over time
  • Heart enlargement and reduced pumping efficiency
  • Can be acute (sudden) or chronic (gradual onset)
Complex Mitral Valve Disease
  • Mixed stenosis and regurgitation in the same valve
  • Severely calcified valve not amenable to repair
  • Previous failed repair requiring replacement
  • Endocarditis damage destroys the valve structure

Symptoms Requiring Mitral Valve Surgery

If you experience these symptoms, you may need mitral valve replacement:

  • Shortness of breath, especially with exertion or lying flat
  • Severe fatigue and weakness during normal activities
  • Heart palpitations or irregular heartbeat sensations
  • Chest pain or pressure, particularly with activity
  • Swelling in ankles, feet, legs, or abdomen
  • Rapid weight gain from fluid retention
  • Reduced exercise tolerance and endurance
  • Frequent respiratory infections or pneumonia

Causes of Mitral Valve Disease

Rheumatic Heart Disease
  • Most common cause in developing countries
  • Childhood strep infections leading to valve damage
  • Progressive valve thickening and calcification over time
  • Often affects both the mitral and aortic valves
Degenerative Disease
  • Age-related wear and tear of valve leaflets
  • Mitral valve prolapse progression to severe regurgitation
  • Chordal rupture causing acute valve failure
  • Annular calcification in elderly patients
Other Causes
  • Infective endocarditis destroying valve leaflets
  • Congenital abnormalities present from birth
  • Cardiomyopathy affecting valve function
  • Previous cardiac surgery complications

Minimally Invasive Mitral Valve Replacement (MICS)

Revolutionary Surgical Approach

MICS mitral valve replacement performed by Dr. Sudarshan offers significant advantages over traditional open-heart surgery:

Traditional vs. MICS Comparison

Aspect Traditional Surgery MICS Approach

Incision Size

25-30 cm breastbone cut

4-6 cm right chest incision

Bone Cutting

Breastbone split required

No bone cutting needed

Recovery Time

8-12 weeks

3-4 weeks

Hospital Stay

7-10 days

3-5 days

Pain Level

Significant

Minimal

Scarring

Large visible scar

Small hidden scar

Blood Transfusion

Often required

Rarely needed

Return to Work

10-12 weeks

4-6 weeks

Advanced MICS Techniques

Robotic-Assisted Mitral Valve Replacement

Dr. Sudarshan utilises the da Vinci Xi robotic system for unparalleled precision:

  • 10x magnified 3D vision for exceptional surgical detail
  • Wristed instruments allowing 540-degree movement
  • Tremor elimination for steady, precise suturing
  • Enhanced dexterity for complex valve procedures

Endoscopic Mitral Valve Surgery

  1. Video-assisted technique using high-definition cameras
  2. Multiple small incisions for instrument access
  3. Excellent visualisation of the mitral valve apparatus
  4. Minimised trauma to surrounding cardiac structures

Totally Endoscopic Approach

  • Single small incision when anatomically suitable
  • Specialised endoscopic instruments for precision
  • Superior cosmetic results with minimal scarring
  • Faster recovery compared to any open technique

Types of Mitral Valve Replacements

Choosing the Right Valve for You

Dr. Sudarshan will help you select the optimal valve type based on your age, lifestyle, and medical condition:

1.Biological (Tissue) Valves

Made from treated porcine or bovine tissue

Advantages
  • No lifelong blood thinners required after 3 months
  • Natural hemodynamics similar to native valve
  • Quiet operation with no audible clicking
  • Lower bleeding risk long-term
  • Preferred for pregnancy planning
Considerations:
  • Limited lifespan (15-20 years average)
  • May require re-operation in younger patients
  • Higher cost initially
  • Gradual deterioration over time

Best for: Patients >65 years, those who cannot take blood thinners, women planning pregnancy

2.Mechanical Valves

Durable artificial valves made from pyrolytic carbon

Advantages
  • Lifetime durability - rarely needs replacement
  • Excellent hemodynamic performance
  • Lower cost long-term
  • Proven track record over 40+ years
Considerations:
  • Lifelong anticoagulation (warfarin) required
  • Regular INR monitoring needed monthly
  • Audible clicking sound with each heartbeat
  • Bleeding and clotting risks with blood thinners

Best for: Patients < 65 years, those wanting to avoid re-operation

3.Special Considerations

  • Valve-in-valve procedures for failed biological valves
  • Annuloplasty rings when valve repair is possible
  • Combination procedures with other cardiac surgeries

Mitral Valve Replacement Surgery Cost in Bangalore

Comprehensive Cost Information

Mitral Valve Replacement surgery cost in Bangalore varies based on multiple factors:

Cost Range Overview

The average cost of mitral valve replacement in Bangalore starts from ₹400,000 to ₹700,000

Factors Affecting Cost:

  • Valve type selected (biological vs mechanical)
  • Surgical approach (MICS vs traditional)
  • Hospital stay duration (average 3-5 days for MICS)
  • Additional procedures if required
  • Patient complexity and comorbidities
  • Surgeon expertise and hospital facilities

Insurance and Financial Options:

  • Comprehensive coverage with major insurance providers
  • Cashless treatment available at Fortis Hospital
  • Corporate health packages are widely accepted
  • EMI financing options
  • Government schemes (CGHS, ESI, Ayushman Bharat)
  • International patient packages available

MICS Mitral Valve Replacement Procedure

Pre-Operative Evaluation

  • Comprehensive echocardiogram with 3D imaging
  • Cardiac catheterisation to assess the coronary arteries CT scan for surgical planning and sizing
  • Pulmonary function tests and general health assessment
  • Detailed consultation about valve selection

Advanced Technology Integration

  • 4K Ultra-HD endoscopic vision systems
  • Real-time 3D echocardiography for guidance
  • Intraoperative valve testing protocols
  • Advanced hemodynamic monitoring throughout

Surgical Procedure Details

1. Anaesthesia and Positioning
  1. General anaesthesia with specialised cardiac monitoring
  2. Right lateral positioning for optimal MICS access
  3. Transesophageal echocardiogram probe placement
  4. Arterial and venous access through groin vessels
2. MICS Access and Exposure
  1. Small right chest incision (4-6 cm) between ribs
  2. Robotic or endoscopic instrument insertion
  3. Heart-lung machine connection via peripheral vessels
  4. Carbon dioxide insufflation for better visualisation
Mitral Valve Assessment and Removal
  1. Detailed valve inspection to confirm the need for replacement
  2. Careful valve excision, preserving important structures
  3. Chordal preservation when possible for better function
  4. Annular debridement and sizing for new valve
4. New Valve Implantation
  1. Precise valve sizing using specialised sizers
  2. Meticulous suture placement for secure attachment
  3. Valve positioning optimisation for best function
  4. Immediate testing with saline and echocardiography
5. Final Assessment and Closure
  1. Comprehensive valve function testing
  2. Air removal from cardiac chambers
  3. Hemostasis achievement and bleeding control
  4. Layer-by-layer closure with cosmetic techniques

Recovery After Mitral Valve Replacement

Optimised Recovery Pathway

Hospital Stay (3-5 days)

Day 1 (Surgery Day)
  • ICU monitoring for 24-48 hours initially
  • Early extubation often within 6-12 hours
  • Pain management with a multimodal approach
  • Anticoagulation initiation if a mechanical valve
Post-Operative Day 1-2
  • Transfer to step-down unit when stable
  • Early mobilisation with physical therapy
  • Echocardiogram to assess valve function
  • Diet advancement from liquids to regular food
Day 3-5
  • Independent walking and stair climbing
  • Final valve assessment before discharge
  • Medication education and compliance planning
  • Home care instructions and activity guidelines

Home Recovery Timeline

Week 1-2
  • Light activities only - walking encouraged
  • Wound care and infection prevention
  • Medication compliance, especially anticoagulation
  • Weight monitoring for fluid retention
Week 3-4:
  • Gradual activity increase as tolerated
  • Return to office work possible
  • Driving resumption when comfortable
  • Follow-up appointments with cardiology
Month 2-3:
  • Full activity clearance, including exercise
  • INR stabilisation if mechanical valve
  • Complete recovery for most daily activities
  • Return to sports with medical clearance

Why Choose Dr. Sudarshan for Mitral Valve Surgery?

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Exceptional Surgical Expertise

  • 300+ mitral valve replacements via MICS
  • >98% success rate in mitral valve surgery
  • Specialist in complex cases, including redo operations
  • Pioneer in robotic mitral surgery in Bangalore
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Advanced Surgical Techniques

  • Totally endoscopic approach
  • Robotic precision with da Vinci Xi
  • Chordal preservation techniques
  • Valve repair expertise
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Outstanding Patient Outcomes

  • Minimal complication rates
  • Faster recovery times
  • High patient satisfaction scores
  • Excellent long-term valve durability
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Comprehensive Care Approach

  • Multidisciplinary team
  • Personalised valve selection
  • Advanced perioperative protocols
  • Long-term follow-up commitment

Patient Success Stories

Case Study 1: Totally Endoscopic Mitral Valve Replacement

Patient Profile:

42-year-old female with rheumatic mitral stenosis

Outcome:
  • Fast-track recovery protocol successful
  • No blood transfusion required
  • Minimal post-operative pain
  • Discharged home on day 3
  • Excellent valve function at follow-up

Case Study 2: Robotic Mitral Valve Replacement

Patient Profile:

50-year-old female with severe mitral regurgitation

Challenge:

Young patient needing valve replacement, concerned about scarring and recovery time

Outcome:
  • Fast-track recovery achieved
  • Discharged in 3 days, pain-free
  • No blood transfusion needed
  • Superior cosmetic result
  • High patient satisfaction

Case Study 3: Elderly High-Risk Patient

Patient Profile:

78-year-old with calcific mitral stenosis

Outcome:
  • Early extubation achieved
  • Mobilised on the first post-operative day
  • Minimal pain throughout recovery
  • No blood transfusion required
  • Significant symptom improvement

Frequently Asked Questions

Common Mitral Valve Replacement Questions

Dr. Sudarshan will assess your valve through detailed imaging. If the valve structure is too damaged for durable repair, replacement provides better long-term outcomes.

The choice depends on your age, lifestyle, and ability to take blood thinners. Dr. Sudarshan will discuss the best option for your specific situation.

Dr. Sudarshan maintains a >98% success rate for mitral valve replacement with excellent long-term valve function and patient satisfaction.

MICS mitral valve replacement typically takes 3-4 hours, including preparation and closure time.

With biological valves, blood thinners are needed for 3 months. With mechanical valves, lifelong anticoagulation is required.

Costs range from ₹4-7 lakhs, depending on valve type and approach. We provide detailed estimates during consultation and work with all major insurance providers.

Book Your Mitral Valve Surgery Consultation

Expert Mitral Valve Care in Bangalore

Don't let mitral valve disease limit your quality of life. Dr. Sudarshan GT, Bangalore's leading mitral valve specialist, offers the most advanced minimally invasive treatment options available.

Consultation Details

  • Location: Fortis Hospital, 154/9, Bannerghatta Road, Opp. IIM-B, Bengaluru - 560076
  • Direct Line: +91 63606 49975
  • Direct Line: drsudarshangt@micsheartsurgery.in
  • Consultation Hours: Monday - Saturday: 9:00 AM - 6:00 PM

Pre-Consultation Preparation

  • Recent echocardiogram and cardiac reports
  • List of current medications, including blood thinners
  • Previous cardiac intervention history, if any
  • Insurance information for coverage verification

Emergency Mitral Valve Surgery

For acute mitral valve emergencies, Dr. Sudarshan provides 24/7 emergency surgery services at Fortis Hospital.

Book Consultation Online +916360649975
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