As the age of an individual increase, the valves in the heart thicken and become stiffer. This may pave way for a heart valve disease. Additionally, certain risk factors such as high cholesterol, high blood pressure, and history of rheumatic fever, heart attack, and infective endocarditis (IE) increases the risk of heart valve disease.
On the other hand, some babies are born with two flaps in the aortic valve instead of three. This congenital disorder, along with heart valve disease, may warrant the need for heart valve replacement. In aortic valve replacement and mitral valve replacement surgery, the concerned defected or damaged valve is replaced with a mechanical or a tissue valve. This restores the normal functioning of the valve.
AVR/MVR in Dubai is conducted by a team of highly experienced and skilled surgeons. United Arab Emirates is one of the leading medical tourism destinations in the world because it houses some of the best hospitals in the world. Additionally, the country is centrally located and can be accessed from any part of the world. This is the reason why many patients from abroad prefer to visit U.A.E for valve replacement, among other cardiac procedures.
Heart Valve Replacement cost in U.A.E is quite affordable and reasonable as compared to the Western countries. However, there are several factors that dictate the cost of valve replacement surgery in the country. For example, the total cost of Double Valve Replacement in Dubai may depend on how many days the patient spends in the intensive care or in the hospitals as he or she recovers from the surgery.
Additionally, it depends on whether a single or both the valves are replaced, the type of valve used, hospital charges, and the fees of the surgeon. The cost of medications and other consumables used before and after surgery is also counted in the final bill.
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.
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.
Some of the causes of heart valve disease include the following:
Some of the symptoms of valvular heart disease include the following:
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:
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.
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.
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.
While depending upon a range of factors, the minimum cost for Heart Double Valve Replacement in the United Arab Emirates is USD 45000. Many multispeciality hospitals in the United Arab Emirates that are JCI, TEMOS certified are approved and most sought after for treating international patients with Heart Double Valve Replacement
The cost of Heart Double Valve Replacement in the United Arab Emirates may differ from one medical facility to the other. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of Heart Double Valve Replacement in the United Arab Emirates.
Heart Double Valve Replacement in the United Arab Emirates is offered by multiple hospitals across the country. The following are some of the most renowned hospitals for Heart Double Valve Replacement in the United Arab Emirates:
After discharge from the hospital, the patient has to stay for another 21 days in the country for complete recovery. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.
the United Arab Emirates is one of the most popular countries for Heart Double Valve Replacement in the world. The country offers the best cost of Heart Double Valve Replacement, best doctors, and advanced hospital infrastructure. However, there are other countries as mentioned below that are popular for Heart Double Valve Replacement as well:
|Saudi Arabia||USD 33000|
|South Korea||USD 70000|
|United Arab Emirates||USD 45000|
Apart from the Heart Double Valve Replacement cost, there are a few other daily charges that the patient may have to pay. These are the charges for daily meals and accommodation outside the hospital. The extra charges may start from USD 50 per person.
There are many cities that offer Heart Double Valve Replacement in the United Arab Emirates, including the following:
There are several doctors who are available for telemedicine consultation for patients requiring Heart Double Valve Replacement in the United Arab Emirates. The following are some of the best doctors for Heart Double Valve Replacement in the United Arab Emirates who are available for video consultation:
|Doctor||Cost||Schedule Your Appointment|
|Dr. Kamal Al Abdi||USD 173||Schedule Now|
|Dr. Girishchandra Varma||USD 173||Schedule Now|
|Dr. Luc J M T Tambeur||USD 173||Schedule Now|
|Dr. Ala Eldin Farasin||USD 173||Schedule Now|
After the Heart Double Valve Replacement takes place, the average duration of stay at the hospital is about 5 days. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.
The average rating for Heart Double Valve Replacement hospitals in the United Arab Emirates is 4.5. This rating is automatically calculated on the basis of several parameters such as the infrastructure of the hospital, quality of services, nursing support and other services.
There are more than 21 hospitals that offer Heart Double Valve Replacement in the United Arab Emirates. These hospitals have propoer infrastructure as well as offer good quality of services when it comes to Heart Double Valve Replacement Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.
The healthcare accreditation standards followed in UAE are provided by DHCA (Dubai Healthcare City Authority) and JCI (Joint Commission International). It is the DHCA and JCI which earmarks the hospitals that match upto the high standards of patient service delivery and healthcare infrastructure. Known as the governing body of Dubai Healthcare City, DHCA streamlines hospital facilities in UAE whereas JCI is a non profit accredition body present in over 100 countries. Dubai Healthcare City Authority was established in the year 2011 and Joint Commission International was founded in 1998 as a division of The Joint Commission (est. 1951).
There are numerous multidisciplinary hospital groups in UAE which are listed below for your convenience:
The credibility of UAE hospitals is their affordable yet good medical care. The multispecialty hospital groups in UAE enable you to get all your intended treatments done at one place owing to the availability of all kinds of specialties under one roof. The medical travellers coming to UAE find it easy to navigate through the systems of the multispecialty hospitals' because of the hospitality displayed and ease of dealing with the people responsible in administration and in medical fields.
Healthcare in UAE should be your natural option with its fast growing healthcare sector over the last five decades adding many hospitals, healthcare centers, clinics, rehabilitation centers and related infratstructure. It is the futuristic vision and the rightful implementation of the same by the UAE government that should make the country a natural choice for you to get your treatment done. The healthcare organisations in UAE function seamlessly, are well organised and the care they provide is unmatched and of really high standards. You can decide to get treatment done in UAE as it has an amalgamation of a strong healthcare sector and a thriving travel ecosystem inclusive of hotels, aviation and transport logistics.
The essential procedure of obtaining a license to practice medicine in UAE ensures that only the best among doctors get to do it. Not only are the doctors in UAE well educated and have the relevant experience but they make sure that they have kept up with the latest developments in their area of expertise. Their connect with patients, the personal touch ensure they are a cut above the rest. It is absolutely essential to note that UAE doctors interact with and treat a vast range of patients from different nationalities.
It is important to have all the required documents with you before you travel to any country for medical treatment. The journey related to your medical treatment is a seamless process if all your documents are together in one place. The documents that you should carry with you during your journey as a medical traveller to UAE are related to travel and medical purposes. Please ensure that you carry essential documents to UAE as mentioned below.
Popular procedures being performed in UAE are as follows.
It is important to note that cosmetic surgery is a fast growing procedure in UAE and in that category botox and fillers are most common. Another procedure for which the government in UAE is changing laws and building a positive environment are Fertility treatments. These treatments are done by the best of doctors at affordable prices.
UAE travel makes it mandatory to take vaccinations. As you begin preparing for your journey get vaccinated atleast four weeks in advance. The nature of the vaccination and its dosage is dependant on the country of origin or destination (if you are traveling from UAE), length of stay, health conditions and current doctors' prescriptions. Do get the yellow fever vaccination for Central African for South American countries.
Medical tourism in UAE is made attractive by many factors and one of them includes the facilities provided by hospitals. It is the seamless functioning of public and private healthcare systems that give wonderful additional hospital facilities. Major hospitals in UAE have an international patient center which helps coordinate the visit of medical tourists to UAE. International patient centers are making the medical travellers lives easy by helping them in many ways such as:
Across markets, medical tourism is a huge contributor to GDP of many countries such as United Arab Emirates. In no small measure, Abu Dhabi and Dubai are two most important medical tourism destinations and they are growing exponentially. Both these cities are well known for their high end healthcare infrastructure and the zest to upgrade it with cutting edge technologies. Investment in healthcare from private and public sector in addition to stringent health regulations has led to guarantee of delivery in quality healthcare and a rising health tourism graph in UAE.
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