Mitral Valve
One of the most commonly involved valves due to rheumatic heart disease in this part of the world is the mitral valve. It is a very important valve situated on the left side of the heart. Any damage causing regurgitation or tightening of this valve, called stenosis, can lead to heart failure.
Mitral Stenosis
Mitral valve stenosis is a narrowing of the valve. The narrowed valve reduces or blocks blood flow into the lower left heart chamber. The lower left heart chamber is the heart’s main pumping chamber. It is also called the left ventricle.
Mitral Regurgitation
Any kind of damage to the mitral valve, most commonly due to rheumatic heart disease or ischemia due to heart attack, causes leakage of the valve.
New Era of Cardiac Surgery: Minimal Invasive Cardiac Surgery
With advancing technology, cardiac surgery is entering a new era of surgical techniques with the help of robots, advanced endoscopes, and laparoscopic instruments.
What Makes Our Team Different from Others
Minimal invasive cardiac surgery
Endovascular vein harvesting (EVH): No need for large incisions on the legs for vein harvesting, resulting in less pain and no scars
ECMO (Extra Corporeal Membrane Oxygenation): A life support system that oxygenates blood using an artificial lung and supports both heart and lungs in:
Unable to wean off from bypass
Patient in cardiogenic shock
Bridge to transplant
Low cardiac output
Acute respiratory syndrome
Also used as ECPR
CO₂ poisoning
Cell saver: Helps to reinfuse the patient’s own blood by segregating blood from suctioned blood, thus preventing blood transfusion
High-end CTVS ICU care
ATMOS (Vacuum Assisted Bypass): Latest technique for bypass for VAVD
Is Everyone Eligible for MICS Approach
Almost all valve cases can be done through minimal invasive cardiac surgery approach
Patient selection for CABG is an important criterion for MIDCAB; around 80% CABG patients can undergo minimal invasive direct coronary artery bypass
Take Home Message
All heart surgeries can be done through a small cosmetic incision with:
Less surgical trauma (no sternal wound complications)
Early recovery (shifted to ward on POD 1)
Minimal post-surgical pain
Minimal bleeding and transfusions
Less hospital stay
Most importantly, back to routine life within 7–10 days with no restrictions
