Heart Valve Replacement in India

Heart Valve Replacement Surgery Cost in India

Heart replacement surgery is a specialized surgery which is performed to replace the damaged or diseased cardiac valve. While performing the surgery, the damaged or diseased valve is replaced with a biological or synthetic valve, depending on the condition of a patient. This surgery is considered an incredibly complex procedure having symptoms such as breathlessness and chest pain. The cardiac valve includes aortic, mitral, tricuspid, and pulmonic and any of these valves may get damaged during a person’s lifetime because of a number of reasons. Generally, Pulmonic and tricuspid valve are rarely replaced or repaired and mitral valve, on the other hand, often needs treatment. Narrowing of the valve or leakage of a valve is the reason why a patient asks for the valve replacement surgery as it restricts the flow of the blood from one chamber of the heart to another.

Being one of the leading reasons for heart valve replacement surgery, aortic valve stenosis is also a serious cardiac disorder. India, with the availability of the latest cardiac treatment technology and sophisticated catheterization labs, has secured the number one position in the list of countries with the best cardiac care. The low cost for heart valve replacement surgery in India is actually the major reason why hundreds of patients travel to India from all over the world. India has a strong brigade of skilled and experienced cardiac surgeons who have treated more than thousands of patients with aortic valve stenosis.

Treatment and Cost

21

Total Days
In Country

2 No. Travelers

7 Day in Hospital

14 Days Outside Hospital

Treatment cost starts from

USD 9500

Hospitals

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.

Patient Stories

Frequently Asked Questions

Why opt for Heart Valve Replacement Surgery in India?

Heart valve replacement surgery is advised to the patients with a severe condition where they start experiencing the signs and symptoms of valve dysfunction. Rheumatic Heart Disease is the prime cause of valve problems in India. The procedure of heart valve surgery is fairly common and has been performed across all the major multispecialty hospitals. India is globally renowned for its quality approach for cardiac care services comprising some of the highly trained and experienced cardiac surgeons in the world.

The success rate of the heart valve replacement surgery in India is high as compared to the western countries. So, a patient can be assured that they can live a healthy life following valve replacement surgery in India. With the best cardiac care, India’s top hospitals are known for their genuine service and around the clock availability. Additionally, English speaking staff and state-of-the-art rehabilitation facility make the country the most preferred destination in the world wherein thousands of patients with aortic valve stenosis can get back to their normal lives in no time.

What is the average cost of Heart Valve Replacement Surgery in India?

The average cost of heart valve replacement surgery in India is $9,500. Undoubtedly India offers the most efficient and pocket-friendly treatment for heart valve surgery in comparison to the other western countries. The point which is worth mentioning is that the cost can vary as per the diagnosis, condition of the patients, the hospital you have chosen, types of room along with the facility availed, and expertise of the surgeon.

What is the recovery process after Heart Valve Surgery in India?

While any minor problems do not affect that much and do not ask for surgery but mild ones need treatment with the help of heart valve repair surgery. Majority of people are living their life normally after having heart valve replacement surgery in India. The high success rate of procedure performed in India shows how successfully a patient is able to recover after the surgery.

After the surgery, the patient is usually advised to take a few medications for a few weeks. It should be noted that the duration of the medication could be reduced or lifted altogether depending on the condition and status of recovery of the patients. The patients should visit the doctor according to the schedule of follow up. During follow up visit, the doctor may perform a few tests to check for the healing of the tissue and then he would observe the functioning of the new valve. The recommended hospitals in India ensure a speedy recovery process by helping patients to return back to their normal routine.

Which are the hospitals and clinics for Heart Valve Replacement Surgery in India?

Health is a major sector and one of the most concerned topics in India. In the past few decades, India has seen remarkable growth in the healthcare industry and boasts a volume of its excellent maintained healthcare providers which are renowned to carry out the procedure of heart valve replacement surgery with brilliance. With well-equipped infrastructure, modern amenities, and the best surgeons on board, the Indian cardiac hospitals deliver the most efficient cardiac treatment which you are looking for. Here is the list of some recommended hospitals in India for heart valve replacement surgery:

  • Silverline Hospital, Kochi, India

  • Fortis Hospitals Mulund, Mumbai, India

  • Fortis Escort Heart Institute, New Delhi

  • Fortis Hospitals Bangalore, Bangalore, India

  • Fortis Hospitals Mohali, Chandigarh, India

  • Sarvodaya Hospitals And Research Center, Faridabad, India

  • BGS Global Hospitals, Bangalore, India

  • Asian Heart Institute, Mumbai, India

  • Apollo Hospitals Indraprastha, New Delhi

  • Kokilaben Dhirubhai Ambani Hospitals, Mumbai, India

  • Wockhardt Hospitals South Mumbai, Mumbai, India

  • BLK Super Specialty Hospitals, New Delhi

  • Sevenhills Hospitals, Mumbai, India

Which are the top Cardiologists in India for Heart Valve Replacement Surgery in India?

India has a pool of qualified cardiac surgeons, working across some of the trusted hospitals in India. Having been trained from top medical institutes in India and abroad, Cardiologists in India hold thorough knowledge in cardiology and cardiac science. See the top Cardiologist in India for heart valve replacement surgery:

  • Dr. Naresh Trehan

  • Dr. Rajendra Patil

  • Dr. Vivek Jawali

  • Dr. Ashok Seth

  • Dr. NS Devananda

  • Dr. Nandkishore Kapadia

  • Dr. Sandeep Attawar

  • Dr. Sandeep Singh

  • Dr. Sameer R Rao

  • Dr. Ravi M N

  • Dr. Arunansu Dhole

  • Dr. Saifuddin Arsiwala

Why go to India for Valve Replacement Surgery?

India is one of the top medical tourism destinations. Of all the specialties that India is famous for, cardiac surgery remains on top. There are thousands of patients who travel to India for a cardiac procedure and valve replacement surgery is one of them.

There are many reasons that make India an appropriate destination to get valve replacement surgery done. Some of the reasons include the following:

  • Affordable cost
  • Availability of great expertise and skills
  • State-of-the-art hospitals
  • Advanced technology for cardiac surgery
  • The  best success rates among all countries
  • Cheap cost of livin
What are the factors affecting the cost of heart valve replacement surgery in India?

Heart valve replacement surgery cost in India depends on several factors. Some of these factors include the following:

  • Type of hospital – Primary, secondary, or tertiary care hospital
  • Location of the hospitalization
  • Choice of the city – first, second, or third tier
  • Experience, qualifications, and skills of the surgeon
  • Type of valve used – artificial or tissue valve
  • Number of valves used – aortic or mitral or both
  • Cost of evaluation – angiography (CAG), 2D Echo and other blood investigations

Heart valve replacement surgery cost in India

  • Single valve replacement (prosthetic/tissue): $7000 to $9500
  • Double valve replacement (prosthetic/tissue): $10000 to $13500
What are the types of valves which are used in India for Heart Valve Replacement Surgery?

The following two types of valves are used in India for heart valve replacement surgery:

Prosthetic Valve: It is also known as an artificial or mechanical valve. Mechanical valves are most commonly made of pyrolytic carbon. They are expected to last longer than biological valve and there is less risk of another surgery after a few years because it does not wear out that fast. There is a greater need for using blood-thinners in the case of mechanical valves.

Tissue Valve: It is also known as a biological, bovine valve, or bioprosthetic valve. This type of valve is derived from a pig’s heart and the sac around a cow’s heart. It costs more than a mechanical valve. Patients who get a biological valve have less need to take blood-thinning medicines and are able to recover faster as far as the valve’s functioning is concerned.

Which are the best cities in India which offer Heart Valve Replacement Surgery?

All metropolitan cities in India have well-equipped hospitals that can cater to the needs of a patient requiring cardiac surgery. With that said, New Delhi, Noida, Gurugram, Bangalore, Mumbai, Hyderabad, and Chennai are some of the best cities to get heart valve replacement surgery done in India.

What is the health care infrastructure of India / Why should opt for India as a destination for your medical treatment?
India is a large country with a rapidly expanding system of healthcare. Like many other countries, there are public and private hospitals in India. This also includes healthcare at three levels.
  • The primary level of healthcare includes Sub Centres and Primary Health Centres.
  • At the secondary level are District Hospitals and smaller Sub-District hospitals. These are the first referral units, mostly from the primary healthcare centres.
  • Finally, the top level of health care provided is the tertiary level, which consists of Medical Colleges and Specialized Hospitals.
Since India boasts of housing a large number of people, the requirement for good healthcare and treatment in India is always there. And this also means prompt delivery of the service. Most of the treatment in India has to be offered at reasonable costs to enable people of all classes to access it. Hence, you can be assured that this country will be a great destination for your medical treatment whichever hospital in India you wish to choose.
What are the conditions of the hospitals in India? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
Here are some JCI certified hospitals in India:
  • Fortis Escorts Health Institutes, Delhi
  • Columbia Asia Referral Hospital, Bangalore
  • Fortis Hospital, Bangalore
  • Apollo Hospital, Chennai
  • Sri Ramachandra Medical Center, Chennai
  • Ahalia Foundation Eye Hospital, Kerala
  • Rajagiri Hospital, Kochi
  • Asian Heart Institute, Mumbai
  • Fortis Hospital, Mumbai
  • Kokilaben Dhirubhai Ambani Hospital, Mumbai
  • SevenHills Hospitals, Mumbai
  • Apex Heart Institute (A Unit Of TCVS Pvt)
  • Apollo Gleneagles Hospitals, Kolkata.
  • Fortis Hospitals Ltd, Mulund, Mumbai
  • Narayana Multispeciality Hospital Jaipur (A Unit of Narayana Hrudayalaya Ltd.)
Hospitals in India are ever-changing to accommodate more people with up to date technology. Hospitals in India also attract patients from other countries because of their diverse range of services. Apart from allopathy and conventional treatment procedures, the government of India, along with the hospitals in India also promote alternative medical treatment options like Ayurveda, homeopathy, and yoga. All in all, you will find great options for any kind of treatment in India.
Are the doctors/surgeons in India of the best quality?
Doctors and surgeons in India have to get through examinations and continue to uphold the standard of education that is provided to them. Since doctors get exposure to various patients during their course, they are able to diagnose and treat a wide range of diseases and illnesses. Therefore, one can rely on the doctors of India for their medical services.
What is the process for obtaining a medical visa in India?
The e-Medical Visa for India is an online travel authorization for foreign nationals who wish to seek medical treatment in the country. A medical Indian visa allows the holder to enter the country 3 times.

The e-Medical visa is a short term visa granted for medical treatment reasons. This type of visa is only granted to the patient and not to their family members.

Foreign nationals can acquire an India e-Medical visa by filling in an online application form. This simple process can be done from the comfort of the traveler’s home or office, avoiding a trip to an embassy or consulate.

Applicants must submit their basic personal information, including their full name, nationality, and date of birth. They must also provide a contact email address and phone number as well as their passport details. Finally, some security questions must be answered.

The form is quick and easy to fill out. The approved India medical visa is then delivered to the applicant’s email address within a few business days.
What support services does MediGence provide in India?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
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  • 360-degree Hospital Review
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  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in India for medical treatment?
India is a beautiful country spread across the vast expanse of the Asian subcontinent. Most of the metro cities have hospitals, in India, with varying levels of infrastructure. Depending on your need and medical service, you can visit your choice of city.
The capital of India is Delhi and has many renowned hospitals like the All India Institute of Medical Sciences, Max Super speciality Hospital Fortis Hospitals, etc.
Other cities offering effective medical care include Bangalore, Chennai, Mumbai, and Hyderabad. These cities come under some of the major metro cities of India.

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