Minimally Invasive Mitral Valve Replacement for Severe Valve Disease

Background

Mrs. Manali Biswas, a 40-year-old male, was admitted to BM Birla Heart Hospital on November 6, 2024, with complaints of shortness of breath on exertion for the past two months. He had a history of previous valve surgery in 2002 and was experiencing worsening symptoms indicative of severe valvular dysfunction.

Investigation & Analysis

A detailed echocardiography revealed:

• Severe Mitral Stenosis (MS): A condition where the mitral valve is narrowed, restricting blood flow from the left atrium to the left ventricle.
• Severe Tricuspid Regurgitation (TR): A disorder where the tricuspid valve doesn’t close properly, causing blood to flow backward into the right atrium.
• Pulmonary Arterial Hypertension (PAH) – 76 mmHg: High blood pressure in the arteries of the lungs, putting strain on the heart.
• Ejection Fraction (EF): 60%: A measure of how well the heart pumps blood, with 60% indicating normal heart function.

A coronary angiogram was performed and found to be normal, ruling out coronary artery disease. Given the severity of the valve disease, Dr. Debabrata Biswas and his team recommended a Minimally Invasive Mitral Valve Replacement (MICS MVR) to restore normal cardiac function.

Treatment & Management

Surgical Procedure:

• On November 7, 2024, the patient underwent MICS Mitral Valve Replacement using an advanced prosthetic mitral valve.
• The minimally invasive approach was chosen to ensure a faster recovery while maintaining optimal surgical precision.

Post-Operative Care & Recovery

• Successful extubation on the same day, indicating a smooth recovery.
• The patient remained hemodynamically stable throughout the post-operative period.
• Continuous monitoring ensured optimal heart function and early rehabilitation.

Dr. Debabrata Biswas is one of the most sought afterdoctors for Mitral Valve Replacement in Kolkata . He reflected on the procedure saying,“Minimally invasive valve replacement offers a transformative approach to treating severe valve disease. With reduced surgical trauma and quicker recovery, patients like Mr. Biswas can resume normal life much sooner.”

BM Birla Heart Hospital remains a pioneer in advanced cardiac interventions, providing cutting-edge treatment options for complex heart conditions with minimally invasive techniques.