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Heart Double Valve Replacement Surgery Cost

Aortic Valve Replacement/ Mitral Valve Replacement (AVR/MVR)

There are four types of cardiac valves that control the flow of blood to and fro the heart. Over a period of time, the heart valves may get diseased or damaged because of several reasons. A reduction in the functioning of the valves can cause serious complications.

The aortic and the mitral valve are most commonly affected by the heart valve disease. Aortic valve replacement (AVR) and mitral valve replacement (MVR) are the two types of valve replacement surgeries in which the diseased aortic or the mitral valve are replaced. Sometimes, both the valves are replaced in the same surgery. Such a surgery is known as double valve replacement surgery.

Types of Valves

The following types of valves may be used to replace the diseased or damage valve:

Tissue valves: These valves are created from animal tissue, wither heart valve tissue or pericardial tissue. These types of tissue valves reduce the risk of rejection and calcification. In some of the cases, a homograft may be used to replace the diseased valve. The homograft is either retrieved from a deceased donor or the patient’s own pulmonary valve.

Mechanical valves: These are made up of flexible and durable material and they tend to last for an entire lifetime of the patient. However, there is an increased risk of blood clotting in patients who receive mechanical valves. This is the reason why they may have to take blood-thinners for their entire life.

Immediately after the procedure, the patient is shifted to intensive care for at least 12 to 36 hours. This is followed by a day or two of hospital stay. The patient is discharged after four to six days of the surgery. Total recovery may take around four to six months.

Treatment and Cost

21

Total Days
In Country
  • 5 Day in Hospital
  • 2 No. Travelers
  • 16 Days Outside Hospital

Treatment cost starts from

USD9000

Top selling packages for Heart Double Valve Replacement

Double Valve Replacement Surgery

Istanbul, Turkey

USD 15000 USD 17000

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Additional Benefits
Complimentary Stay for the Patient in a Hotel for 11 Nights
Free Room Upgrade from Economy to Private
Cash Voucher for Medicines worth 50 USD
Complimentary Video Consultation with the Specialist
Airport Transfers
Priority Appointment
Cancel Anytime with Full Refund
24*7 Patient Care & Support Services

We provide numerous services for your medical journey, including:

  1. Complimentary Stay for the Patient in a Hotel for 11 Nights
  2. Free Room Upgrade from Economy to Private
  3. Cash Voucher for Medicines worth 50 USD
  4. Complimentary Video Consultation with the Specialist
  5. Airport Transfers
  6. Priority Appointment
  7. Cancel Anytime with Full Refund
  8. 24*7 Patient Care & Support Services

Costing Details

With us, you are sure to receive all the benefits at competitive prices which is a better choice than paying actual hospital costs. The Double Valve Replacement Surgery involves replacement of both aortic and mitral valve. This type of replacement procedure is done under general anesthesia with both minimally invasive & conventional techniques. During conventional surgery, an incision is made in the neck right to the navel and for less invasive surgery, the incision is smaller thus leading to less infection., If you are thinking of Double Valve Replacement Surgery at Medicana Camlica Hospital in Turkey, then you must grab this beneficial package that covers every advantage for your treatment & stay.


Double Valve Replacement Surgery

Delhi, India

USD 12500 USD 14000

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Additional Benefits
Complimentary Stay for 2 in a Hotel for 15 Nights
Free Room Upgrade from Economy to Private
Cash Voucher for Medicines worth 75 USD
Post Operative Recovery Package (1 Month Plan)
Complimentary Video Consultation with the Specialist
Airport Transfers
City Tour for 2
Priority Appointment
Cancel Anytime with Full Refund
24*7 Patient Care & Support Services

MediGence is offering immense facilities for your medical journey such as:

  1. Complimentary Stay for 2 in a Hotel for 15 Nights
  2. Free Room Upgrade from Economy to Private
  3. Cash Voucher for Medicines worth 75 USD
  4. Post Operative Recovery Package (1 Month Plan)
  5. Complimentary Video Consultation with the Specialist
  6. Airport Transfers
  7. City Tour for 2
  8. Priority Appointment
  9. Cancel Anytime with Full Refund
  10. 24*7 Patient Care & Support Services

Costing Details

We offer packages at reasonable pricing that include a variety of additional advantages, making it a better deal than paying for individual perks at the hospital. The Double Valve Replacement Surgery involves replacement of both aortic and mitral valve. This type of replacement procedure is done under general anesthesia with both minimally invasive & conventional techniques. During conventional surgery, an incision is made in the neck right to the navel and for less invasive surgery, the incision is smaller thus leading to less infection., If you are thinking of Double Valve Replacement Surgery at Fortis Hospital, Shalimar Bagh in India, then you must grab this beneficial package that covers every advantage for your treatment & stay.


177 Hospitals


Types of Heart Double Valve Replacement in Artemis Health Institute and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)9956 - 17073833005 - 1381557
Simultaneous Double Valve Replacement (DVR)13505 - 220801113917 - 1859856
Staged Double Valve Replacement (DVR)11193 - 20566909566 - 1649994
  • Address: Artemis Hospitals, Sector 51, Gurugram, Haryana, India
  • Facilities related to Artemis Health Institute : Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe

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DOCTORS IN 15 SPECIALITIES

17+

FACILITIES & AMENITIES

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Types of Heart Double Valve Replacement in Medanta - The Medicity and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)10319 - 16929840020 - 1401667
Simultaneous Double Valve Replacement (DVR)13347 - 227371095882 - 1876378
Staged Double Valve Replacement (DVR)11254 - 19806904175 - 1675454
  • Address: Medanta The Medicity, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana, India
  • Facilities related to Medanta - The Medicity: Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe

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61

DOCTORS IN 14 SPECIALITIES

18+

FACILITIES & AMENITIES


Mount Elizabeth Hospital located in Singapore, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 345 bedded Hospital
  • Maternity wards
  • The Mount Elizabeth Patient Assistance Centre (MPAC)
  • 1 major operating unit with 12 operating rooms and 1 operating theatre dedicated to in vitro fertilisation (IVF)
  • Intensive Care Unit
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • Accident & Emergency Department
  • Rooms are categorized as Single rooms, 2-bedded rooms, 4-bedded rooms, Executive deluxe suite, Daffodil/Magnolia suite, VIP Room, and Royal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
  • Parking lot

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  • Global Team of Board Certified Surgeons and Medical Specialists
  • Written Second Opinion report delivered within 5 days
  • Option to avail the Video Consultation with the Lead Doctor of the board

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Types of Heart Double Valve Replacement in Apollo Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)10170 - 16973837817 - 1365879
Simultaneous Double Valve Replacement (DVR)13680 - 225921114916 - 1808207
Staged Double Valve Replacement (DVR)11178 - 20422925241 - 1649116
  • Address: Apollo Hospitals Jubilee Hills, Film Nagar, Hyderabad, Telangana, India
  • Facilities related to Apollo Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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36

DOCTORS IN 14 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of Heart Double Valve Replacement in Venkateshwar Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)9133 - 15216745411 - 1252839
Simultaneous Double Valve Replacement (DVR)12126 - 20304997408 - 1666149
Staged Double Valve Replacement (DVR)10189 - 18210833800 - 1498805
  • Address: Venkateshwar Hospital, Sector 18, Sector 18A, Dwarka, Delhi, India
  • Facilities related to Venkateshwar Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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36

DOCTORS IN 13 SPECIALITIES

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FACILITIES & AMENITIES


Gleneagles Hospital located in Napier Road, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 270+ bedded medical facility, which includes suites, single rooms, two-bedded, four-bedded rooms and maternity wards (9 delivery rooms)
  • 12 operating rooms
  • Surgery ward with 40 beds
  • State-of- the-art intensive care unit (ICU) with 16 beds
  • State-of- the-art neonatal intensive care unit (NICU) with 14 cots
  • Separate transplant unit
  • Endoscopy Centre (VIP room)
  • 24-hour accident and emergency (A&E) and outpatient Unit
  • Accommodation availability for the patients
  • The Hospital has a dedicated Patient Assistance Centre, which is to cater to multi-faceted needs of international patients. It provides services like air evacuation and repatriation, visa application and extension, language interpretation assistance, etc.

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20+

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Types of Heart Double Valve Replacement in Global Health City and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)10121 - 16576840710 - 1387156
Simultaneous Double Valve Replacement (DVR)13653 - 220891101208 - 1818477
Staged Double Valve Replacement (DVR)11151 - 19801936780 - 1661370
  • Address: Global Health City, Perumbakkam, Sholinganallur Main Road, Cheran Nagar, Medavakkam, Chennai, Tamil Nadu, India
  • Facilities related to Global Health City: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Religious Facilities, Rehabilitation

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18

DOCTORS IN 14 SPECIALITIES

19+

FACILITIES & AMENITIES


Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Total capacity for 143 beds
  • Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
  • All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
  • Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
  • 1 Neonatal Intensive Care Unit (NICU) with 14 cots
  • Intensive Care Unit
  • 1 Operation Theatre with 5 Operating rooms
  • 1 Nursery with 30 cots
  • 1 Parentcraft room
  • 24-hour walk-in-clinic (for emergency)
  • 24-hour Pharmacy

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14

SPECIALITIES

15+

FACILITIES & AMENITIES


Types of Heart Double Valve Replacement in Fortis Malar Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)9117 - 15167746728 - 1251969
Simultaneous Double Valve Replacement (DVR)12144 - 20356999985 - 1657936
Staged Double Valve Replacement (DVR)10140 - 18323831894 - 1494657
  • Address: Fortis Malar Hospital, Gandhi Nagar, Adyar, Chennai, Tamil Nadu, India
  • Facilities related to Fortis Malar Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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DOCTORS IN 9 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of Heart Double Valve Replacement in Sterling Wockhardt Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)9130 - 15192749637 - 1245458
Simultaneous Double Valve Replacement (DVR)12192 - 203791001780 - 1671792
Staged Double Valve Replacement (DVR)10101 - 18340835552 - 1501178
  • Address: Sterling Wockhardt Hospital, Sion - Panvel Expressway, Sector 7, Vashi, Navi Mumbai, Maharashtra, India
  • Facilities related to Sterling Wockhardt Hospital : Mobility Accessible Rooms, Rehabilitation, Religious Facilities, TV in room, Cafe

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16

DOCTORS IN 14 SPECIALITIES

18+

FACILITIES & AMENITIES


Types of Heart Double Valve Replacement in Star Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)8478 - 13934694024 - 1137423
Simultaneous Double Valve Replacement (DVR)11319 - 18903933440 - 1543938
Staged Double Valve Replacement (DVR)9223 - 16807776155 - 1370249
  • Address: Star Hospitals, Banjara Hills, Hyderabad, Telangana, India
  • Facilities related to Star Hospitals: Mobility Accessible Rooms, Rehabilitation, Religious Facilities, TV in room, Cafe

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28

DOCTORS IN 12 SPECIALITIES

18+

FACILITIES & AMENITIES


Types of Heart Double Valve Replacement in Medicana International Istanbul and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)17229 - 279061355419 - 2265013
Simultaneous Double Valve Replacement (DVR)19165 - 315501564732 - 2629490
Staged Double Valve Replacement (DVR)18065 - 288451494426 - 2416684
  • Address: Büyükşehir Mahallesi, Medicana International Istanbul, Beylikdüzü Caddesi, Beylikdüzü/Istanbul, Turkey
  • Facilities related to Medicana International Istanbul: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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27

DOCTORS IN 10 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of Heart Double Valve Replacement in Memorial Antalya Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)16776 - 282141395622 - 2352734
Simultaneous Double Valve Replacement (DVR)19023 - 317631596044 - 2636609
Staged Double Valve Replacement (DVR)17616 - 292441453141 - 2404445
  • Address: Zafer Mahallesi, Memorial Antalya Hospital, Yıldırım Beyazıt Caddesi, Kepez/Antalya, Turkey
  • Facilities related to Memorial Antalya Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Religious Facilities, Rehabilitation

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24

DOCTORS IN 11 SPECIALITIES

19+

FACILITIES & AMENITIES


Types of Heart Double Valve Replacement in Medicana International Samsun Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)16710 - 275901370735 - 2343091
Simultaneous Double Valve Replacement (DVR)19048 - 311911573781 - 2600702
Staged Double Valve Replacement (DVR)17797 - 298581477285 - 2411472
  • Address: Yenimahalle Mahallesi, Medicana International Samsun, Şehit Mesut Birinci Caddesi, Canik/Samsun, Turkey
  • Facilities related to Medicana International Samsun Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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31

DOCTORS IN 11 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of Heart Double Valve Replacement in NMC Royal Hospital, Khalifa City and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Heart Double Valve Replacement (Overall)50359 - 718154112460 - 6096917
Simultaneous Double Valve Replacement (DVR)56062 - 773204626730 - 6328925
Staged Double Valve Replacement (DVR)52989 - 743704460994 - 6217931
  • Address: NMC Royal Hospital Khalifa City - Abu Dhabi - United Arab Emirates
  • Facilities related to NMC Royal Hospital, Khalifa City: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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DOCTORS IN 11 SPECIALITIES

20+

FACILITIES & AMENITIES

About the Heart Double Valve Replacement

There are four types of valves in the human heart – the mitral, aortic, tricuspid, and pulmonary valve. The mitral and the tricuspid valve are present between the upper and the lower chambers of the heart. On the other hand, the aortic and the pulmonary valve are present in the two arteries that leave the heart.

Most often, it is the mitral and the aortic valve that undergoes certain pathologic changes due to degenerative valve diseases, rheumatic heart diseases, or infective endocarditis. This may result in problems associated with the valve opening and closure.

These dysfunctions can be treated with either valve repair or valve replacement surgery. Aortic valve replacement or mitral valve replacement is carried out when just one of the valve is diseased or damaged. However, when both the valves are diseased or damaged, a double valve replacement surgery is conducted.


About the ailment

The heart valves present in the heart are responsible for permitting the flow of nutrient-laden blood through the heart chambers. After allowing the ushering of blood, each valve is expected to close completely. The diseased or damaged valves are not able to open and close properly, thus allowing the mixing and backflow of blood (regurgitation).

 A double valve replacement surgery mainly aims at correcting the problem of valvular heart disease and involves both aortic valve replacement and mitral valve replacement. The mitral valve is situated between the left atrium and the left ventricle while the aortic valve is located in between the aorta and the left ventricle.

Causes of Heart Valve Disease

Some of the causes of heart valve disease include the following:

  • Cardiac stenosis or narrowing
  • High blood pressure and heart failure, which enlarges the heart and arteries and contribute to valvular diseases
  • Atherosclerosis
  • Scar tissue formation and damage due to heart attack or any injury to the heart
  • Strep throat or rheumatic fever can give rises to valve problems
  • Infection due to germs entering bloodstream can affect heart valves and one such infection is infective endocarditis
  • Lupus-like autoimmune diseases can affect the aorta and mitral valve
  • Carcinoid syndrome
  • Diet medicines such as fenfluramine and phentermine can at times give rise to valve diseases
  • Marfan syndrome
  • Metabolic disorders such as Fabry disease or high blood cholesterol
  • Radiation therapy to the chest can give rise to heart valve diseases.

Symptoms of Double Valve Replacement

Some of the symptoms of valvular heart disease include the following:

  • Fluid retention in the lower limbs
  • Chest pain
  • Fatigue and light-headedness
  • Dizziness and shortness in breath
  • Cyanosis

About heart valve replacement

Double valve replacement surgery is a complicated procedure as compared to single valve replacement surgery. Aortic valve replacement and mitral valve replacement involves the replacement of just one valve but during double valve replacement surgery, both the diseased valves are removed at the same time and replaced with a synthetic (mechanical) or a biological valve.

In the case of mechanical valves, the components used are not of organic or natural origin. They are created from a combination of polyester and carbon material that the human body can tolerate and accept. Blood-thinning medications are given to patients who get mechanical valves to prevent blood clot formation.

Bioprosthetic valves or the biologic valves are either created from animal or human tissues and can be of the following types:

  • A bovine valve is usually derived from the tissues of a cow and is connected to the heart with the help of silicone rubber
  • A porcine valve has its origin rooted from a pig tissue and is implanted in the heart with or without the frame like a stent
  • A homograft or an allograft is usually collected from the human donor’s heart

The choice of a particular type of valve depends on the age, overall fitness, and the ability to metabolize anticoagulant medications. The only problem associated with a bioprosthetic valve is that it may not last a lifetime and one may have to undergo a replacement again later.

How is Heart Double Valve Replacement performed?

For the purpose of hemodynamic monitoring, the peripheral arterial and venous access are installed. The patient is anaesthetized in a supine position with a single lumen endotracheal tube.

In the jugular vein, two percutaneous sheath introducers are placed for central venous pressure monitoring and drug administration. Another similar one is placed in the same right jugular vein for the purpose of introducing endocavitary pacemaker leads if required. External defibrillator pads are placed on the patient’s back and on the anterior left chest.

TEE or transesophageal echocardiography probe is used for an assessment of cardiac function, percutaneous venous cannulation guidance, and valve assessment. The skin is sterilized with iodine solution and an aseptic strip is applied on areas exposed. The double valve replacement procedure is very similar to isolated aortic valve replacement or mitral valve replacement, which is conducted via a single access right anterolateral minithoracotomy.

Before systemic heparinization, the venous introducer sheath is positioned in the femoral vein to prevent any unwanted bleeding. In the third intercostal space, an incision of 6 to 8 cms is made. Minithoractomy is made and in the 3rd and 5th intercostals spaces, two auxiliary working ports are placed. The first is for video assistance and the second is for gas insufflation, cardiotomy vent, and pericardial stay sutures. The pericardium is opened upwards and downwards after removal of the pericardial fat, which is 3 to 4 cm above the phrenic nerve. The pericardium is retracted using silk sutures.

In a standard way, two aortic purse strings are placed for direct arterial cannulation after the aorta has been exposed. The operation is continued with venous cannulation under the guidance of TEE. A guidewire in moved through the venous introducer and positioned in the superior vena cava.

With the central cannulation of the ascending aorta, arterial inflow is established. The cannula has an obturator and an advanced tip to aid aortic insertion within the thorax. With cannula rings, the tip is secured and with two tourniquets the cannula is secured. They allow maximum space to work during thoracotomy access.

Carbon dioxide flow keeps running and when the heart gets arrested, the aorta is opened in an oblique way with an incision like a hockey stick, k which is further extended to the non-coronary sinus Valsalva. After this, aortotomy is made far away from the cross-clamp and from the main pulmonary artery trunk; for the closure of aortotomy, enough aortic tissue must be kept. Now the problematic valve is excised. The annulus size is measured and calibrated with a sizer and then prosthesis is implanted. The aortic prosthesis is lowered and made to remain above the final plane of implantation.

Now focus shifts to the left atrium. It gets dissected in a Sondergaard’s plane, and with the help of one single silk suspension stitch and an atrial retractor, the mitral valve is exposed. If now required the left atriotomy can be further extended behind upwardly behind the superior vena cava or along the inferior vena cava downwardly.  In right minithoracotomy the visualization of the mitral valve is very good and allows valve and subvalvular repairs easily.

The procedure starts with synthetic braided sutures being placed in the mitral annulus whose diameters are measured using suitable valve sizes. For the mitral valve, reductive annuloplasty is performed. The sutures are passed and the retractor is removed and then attention is again diverted towards the aortic valve prosthesis. This is lowered into the annular plane and thereafter knotted.

For the assessment of the results of the repair, the atrial retractor is again positioned in the left atrium.  To estimate the competence of the valve, a water probe is applied with an implanted open mitral ring. After successful completion, the left atrium is closed leaving behind the ventricular vent via the mitral valve in the left ventricle. Aortic cross-clamp is removed and aortotomy suture is further knotted. The aortic vent is positioned in the ascending aorta. A polypropylene purse-string suture is hand-knotted after aortic vent is removed. After confirmation by the TEE, the procedure moves to the final stage where the aortic cannula is removed and a percutaneous cannula is also withdrawn with the femoral vein temporarily placed under compression, the skin incision is closed with a single silk stitch.

Recovery from Heart Double Valve Replacement

After the surgery, the patient is shifted to ICU for close monitoring for several days. Blood pressure, ECG tracing, breathing rate, and oxygen levels are closely studied. You may require staying in the hospital for several days after heart valve replacement surgery. With the help of the ventilator, breathing is assisted via a tube inserted in the throat. The breathing machine will be further adjusted as the patient keeps growing stable and once the patient is able to breathe and cough on their own, the tube is removed. Along with this, the stomach tube is also removed.

In every two hours, a nurse would help the patient take deep breaths and cough. This feels sore but is vital to prevent accumulation of mucus in the lungs and prevent pneumonia. The patient is taught to hug a pillow tightly while coughing to ease out any discomfort. The patient must express discomfort felt at coughing and medications are suggested accordingly. Slowly fluid intake is initiated and you can gradually increase your daily activities such as walking around the room. After a few days, the patient is shifted to the recovery room where the rest of the recovery takes place before discharge.

Notify your doctor if you feel swelling and redness around incision area, fevers and chills, or pain in the area of the incision. You should rest and keep the surgical area as clean as possible at home.

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