The valve used in the procedure was also manufactured under ‘Make in India’ scheme of the Union government, and has been used for the second time only in north India.
A team of cardiac surgeons at the Sawai Man Singh Medical College, for the first time in any government medical college across the north and central India, used Trans Catheter Aortic Valve Implantation (TAVI) technique to replace diseased heart valve without an open heart surgery.
The valve used in the procedure was also manufactured under ‘Make in India’ scheme of the Union government, and has been used for the second time only in north India. So far, this technique has not been used even at the AIIMS, Delhi, claimed the doctors. This technology is the first ever indigenously designed and manufactured trans-catheter heart valve and has recently been made commercially available.
Ramji (name changed) a 65-year-old man from Sikar, was diagnosed with aortic stenosis, a narrowing of the aortic valve opening that restricts the blood flow from the left ventricle to the aorta, doctors said. He was having difficulties in walking, experienced shortness of breath and inability to do even light physical activities.
“His condition was acute which could not be treated with medications. He has kidney problems and blood pumping capacity of his heart was also very low. It was not suitable to do an open-heart surgery which is a traditional surgical procedure for the treatment of aortic stenosis,” Dr SM Sharma, senior professor, cardiology department at SMS Medical College said.
With his old age, an open-heart surgery was not an option. “So, we decided to perform replace his valve using the TAVI technique,” he added. To determine the accurate size of the valve to be replaced, doctors conducted a CT scan and angiography. After that, a new valve was replaced in place of the diseased valve. “With this, SMS Medical college has become the first government medical college in North and Central India where TAVI technique has been used to replace a diseased valve,” Dr Sudhir Bhandari, Principal, SMS Medical College said.
“The valve used in the procedure has been completely ‘made in India’ and it was provided completely ‘free of cost’. Normally, a valve imported from other country costs Rs 20 lakh, but this indigenous valve has a cost of Rs13 lakh. “This procedure, if performed in any private hospital, is estimated to cost around Rs25 Lakh,” he added.
How It Happened?
- Ramji a 65-year-old man from Sikar, was diagnosed with aortic stenosis, a narrowing of the aortic valve opening.
- He was having difficulties in walking, experienced shortness of breath in doing light physical activities.
- For the first time in any government medical college TAVI technique was used to replace diseased heart valve without an open heart surgery.
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