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Ahmedabad (Gujarat) [India], March 23: First time independently in Gujarat, the team of doctors at Narayana Multispeciality Hospital, Ahmedabad, successfully conducted the MitraClip procedure, an extremely challenging heart valve procedure. The team of doctors was led by Dr Manik Chopra, who is the Clinical lead for Structural heart disease interventions at Narayana Health and included Dr Satish Govind, Dr Sumit Dheer, Dr Vyom Mori, Dr Atul Maslekar, Dr Alpesh Patel and Dr Hetal Shah.
Mr. Mansukhbhai B Gondaliya, 58 years old male, had
suffered a major heart attack in 2016 and had also undergone a coronary
angioplasty with stenting for the same. However, his heart muscles had failed
to recover, and he had poor heart pumping. He remained stable and asymptomatic
for a few years on medications. However, his heart slowly enlarged over these
years, leading to leakage in the mitral valve, i.e., mitral regurgitation (MR),
which finally became severe enough to cause breathing difficulty on minimal
exertion and heart failure symptoms for the last few months. He had taken
multiple cardiac surgeons’ opinions but was found to be at very high risk for
open heart surgery.
He then consulted Dr Manik Chopra, who subspecializes and
is an expert in Structural heart disease interventions which deal with
transcatheter heart valve procedures, i.e., treating heart valve diseases via
catheters introduced from the blood vessels without open heart surgery, i.e.,
opening the chest and without cardiopulmonary bypass. He advised him to undergo
the MitraClip procedure, which is a much safer procedure in such a scenario as
it is done without open heart surgery, i.e., opening up the chest and without
cardiopulmonary bypass. He underwent the above procedure in which a clip called
MitraClip was placed in the middle of the mitral valve via a catheter from the
right leg vein (femoral vein). The procedure was completed in just one and a
half hours with an excellent end result - practically no mitral regurgitation
(MR) and no complications.
Mr. Gondaliya was discharged after four days and resumed
his routine activities easily without any breathing difficulty. We are a centre
of excellence for transcatheter heart valve procedures such as the Mitraclip
procedure and other such transcatheter heart valve procedures like transcatheter aortic valve replacement or implantation
(TAVR/TAVI), transcatheter mitral valve replacement or implantation
(TMVR/TMVI), transcatheter pulmonary valve replacement or implantation
(TPVR/TPVI) and transcatheter tricuspid valve replacement or implantation
(TTVR/TTVI) - said Dr. Manik Chopra, who is a national and international leader
for Structural heart disease interventions with experience of 400+
transcatheter heart valve procedures spread across 16 countries, 50+ cities and
130+ cardiac centres since mid-2019 and is available at Narayana Multispecialty
Hospital, Ahmedabad.