Aortic Valve Replacement Cost In India

Aortic valve replacement is a critical surgical procedure performed to treat conditions like aortic valve stenosis or regurgitation, which can lead to severe complications if left untreated. India has become a sought-after destination for this life-saving procedure due to its advanced healthcare infrastructure, skilled medical professionals, and relatively affordable costs. The Aortic Valve Replacement Cost in India ranges from ₹2,50,000 to ₹6,00,000, making it significantly more economical compared to many other countries. This affordability, combined with the availability of state-of-the-art medical facilities, attracts patients from across the globe.

In this blog, we will discuss the cost of aortic valve replacement in detail and explore the factors influencing these expenses, the types of valves available, and the surgical techniques commonly used. Additionally, we will provide a curated list of the top 10 hospitals in India renowned for performing aortic valve replacement surgeries, ensuring that patients can make well-informed decisions about their treatment options. Whether you’re a patient or a caregiver, this comprehensive guide will serve as a valuable resource for understanding all aspects of aortic valve replacement surgery in India.

If you’re exploring costs for other surgeries in India, check out the Comprehensive Guide To Treatment & Surgery Costs In India.

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Aortic Valve Replacement Cost In India

The price of aortic valve replacement in India can differ widely depending on several factors, like the type of valve used, the type of surgery performed, the hospital, the surgeon, and the city where you have the surgery. The average cost of aortic valve replacement in India typically ranges from ₹2,50,000 to ₹5,00,000.

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Detailed Cost Breakdown

Here’s a detailed breakdown of the costs involved:

1. Preoperative Costs

• Consultation Fees: ₹1,000 to ₹2,000 per visit
• Diagnostic Tests: ₹10,000 to ₹20,000 (includes echocardiogram, chest X-ray, CT scan, etc.)
• Preoperative Medications: ₹5,000 to ₹10,000

2. Surgery Costs

• Surgeon’s Fees: ₹1,00,000 to ₹2,00,000
• Anesthesia Fees: ₹20,000 to ₹40,000
• Operation Theatre Charges: ₹50,000 to ₹1,00,000
• Valve Cost:
  • Mechanical Valve: ₹1,50,000 to ₹2,50,000
  • Biological Valve: ₹2,00,000 to ₹3,00,000

3. Hospitalization Costs

• Room Charges: ₹5,000 to ₹10,000 per day (average stay of 7-10 days)
• Nursing Care: ₹10,000 to ₹20,000
• ICU Charges: ₹20,000 to ₹50,000 (if required)

4. Postoperative Costs

• Medications: ₹5,000 to ₹10,000 per month (for the first few months)
• Follow-up Visits: ₹1,000 to ₹2,000 per visit
• Rehabilitation and Physiotherapy: ₹10,000 to ₹20,000

Types Of Aortic Valve Replacement

1. Mechanical Valve Replacement
   • Description: Mechanical valves are made from durable materials like metal or ceramic. They are designed to last a lifetime, but patients must take lifelong blood-thinning medication to prevent blood clots.
   • Advantages: Long-lasting, durable.
   • Disadvantages: Requires lifelong anticoagulation therapy.
   • Cost: ₹4,30,000 to ₹5,40,000.
     
2. Biological Valve Replacement
   • Description: Biological valves are made from animal tissues (pig or cow) or human heart tissue. They do not last as long as mechanical valves but do not require long-term blood-thinning medication.
   • Advantages: No need for lifelong anticoagulation therapy.
   • Disadvantages: It may need to be replaced after 10-20 years.
   • Cost: ₹5,00,000 to ₹7,20,000.
     
3. Transcatheter Aortic Valve Replacement (TAVR)
   • Description: TAVR is a minimally invasive procedure where the new valve is inserted via a catheter through a blood vessel, usually in the leg. It is an option for patients who are at high risk for open-heart surgery.
   • Advantages: Minimally invasive, shorter recovery time.
   • Disadvantages: It may not be suitable for all patients, higher cost.
   • Cost: ₹20,00,000 to ₹25,00,000.
     
4. Ross Procedure
   • Description: In the Ross procedure, the patient’s pulmonary valve replaces the damaged aortic valve. A donor valve is then used to replace the pulmonary valve.
   • Advantages: The new aortic valve is a living valve which can grow with the patient (especially beneficial for children).
   • Disadvantages: More complex surgery results in longer recovery time.
   • Cost: ₹6,00,000 to ₹8,00,000.
     
5. Homograft Valve Replacement
   • Description: Homograft valves are taken from a donated human heart. They are used in cases where the patient has a high risk of infection or other complications.
   • Advantages: Good for patients with a high risk of infection.
   • Disadvantages: Limited availability, may not last as long as mechanical valves.
   • Cost: ₹7,00,000 to ₹9,00,000.

Costs Of Aortic Valve Replacement In India

Type of Valve Replacement	Cost Range (INR)
Mechanical Valve Replacement	₹4,30,000 to ₹5,40,000
Biological Valve Replacement	₹5,00,000 to ₹7,20,000
Transcatheter Aortic Valve Replacement (TAVR)	₹20,00,000 to ₹25,00,000
Ross Procedure	₹6,00,000 to ₹8,00,000
Homograft Valve Replacement	₹7,00,000 to ₹9,00,000

Aortic Valve Replacement Cost In Different Indian Cities

The cost of Aortic Valve Replacement (AVR) surgery in India varies across different cities, influenced by factors such as hospital infrastructure, surgeon expertise, and regional economic conditions. Below is a detailed breakdown of AVR costs in various Indian cities, compiled from reputable medical sources:

City	Cost Range (INR)
Hyderabad	₹2,00,000 – ₹4,00,000
Raipur	₹2,00,000 – ₹3,00,000
Bhubaneswar	₹2,00,000 – ₹4,00,000
Visakhapatnam	₹2,00,000 – ₹4,00,000
Nagpur	₹2,00,000 – ₹4,00,000
Indore	₹2,00,000 – ₹3,50,000
Aurangabad	₹2,00,000 – ₹4,00,000
New Delhi	₹2,73,881 – ₹4,28,379
Gurgaon	₹2,80,904 – ₹4,21,356
Noida	₹2,63,348 – ₹4,38,913
Chennai	₹2,80,904 – ₹4,03,800
Mumbai	₹2,87,927 – ₹4,28,379
Bangalore	₹2,73,881 – ₹4,14,333
Kolkata	₹2,63,348 – ₹3,96,777
Jaipur	₹2,45,791 – ₹3,93,266
Mohali	₹2,52,814 – ₹5,96,921
Ahmedabad	₹2,35,257 – ₹3,89,754
Hyderabad	₹2,70,370 – ₹4,10,822

Factors Influencing The Aortic Valve Replacement Cost In India

The aortic valve replacement cost in India, like any medical procedure, can vary significantly depending on various factors. Here are some factors that can affect the cost of aortic valve replacement in India:

1. Type of Valve: The cost of the valve itself can vary depending on whether a mechanical valve or a tissue (biological) valve is used. Mechanical valves are generally more durable but require lifelong blood-thinning medication, while tissue valves may not last as long but do not require blood thinners.

2. Hospital Choice: The choice of hospital plays a significant role in cost. Premium, internationally accredited hospitals in major cities charge higher prices than smaller hospitals or those in less urban areas.

3. Surgeon’s Fees: Surgeon fees can vary based on the experience and reputation of the surgeon performing the procedure. Highly experienced and renowned surgeons may charge higher fees.

4. Medical Complications: Additional medical expenses can be incurred if complications occur during the surgery or post-surgery, increasing the overall cost.

5. Type of Surgery: The specific surgical approach can also affect the cost. Minimally invasive medical procedures, like transcatheter aortic valve replacement (TAVR), may be more expensive than traditional open-heart surgery due to the advanced technology and equipment required.

6. Length of Hospital Stay: The duration of hospitalization impacts the overall cost. A more extended stay can result in higher expenses for room charges, nursing care, and other associated costs.

7. Diagnostic Tests and Pre-operative Care: Costs associated with diagnostic tests, pre-operative assessments, and consultations with specialists before the surgery can add to the overall expense.

8. Post-operative Care: After the surgery, there may be expenses related to medications, rehabilitation, and follow-up consultations.

9. Geographic Location: The cost of healthcare services can vary widely across different regions in India. Major metropolitan areas often have higher costs than smaller towns or rural areas.

10. Health Insurance Coverage: If you have health insurance, it can significantly reduce your out-of-pocket expenses. The extent of coverage and the specific insurance plan can impact your cost.

It’s important to note that the cost of aortic valve replacement can vary significantly from one hospital to another and even between patients based on their specific medical conditions and needs. Patients are encouraged to research and compare costs at other healthcare facilities, consider their insurance coverage, and consult with healthcare providers to understand the expected expenses before the procedure.

Diagnostic Tests For Aortic Valve Replacement With Their Costs

Some of the common tests that are performed before aortic valve replacement are:

– Chest X-ray: This is a simple & painless test that uses radiation to develop images of the chest, including the heart, lungs, & blood vessels. It can show the size and shape of the heart and detect any abnormalities in the lungs or chest cavity.

– Electrocardiogram (ECG): This is a non-invasive diagnostic test that observes the electrical activity of the heart using electrodes attached to the skin. It can measure the heart rate, rhythm, and electrical conduction. It can also detect any signs of ischemia (lack of blood flow) or damage to the heart muscle.

– Blood tests: These are laboratory tests that analyze samples of blood taken from a vein. They can measure various parameters, such as blood count, electrolytes, kidney function, liver function, and coagulation. They can also detect any signs of infection or inflammation in the body.

– Echocardiogram: This type of ultrasound test uses sound waves to develop images of the heart & its structures. It can show how well the heart chambers and valves are working and measure the blood flow and pressure in the heart and arteries. It can also detect clots, tumors, or defects in the heart.

– Cardiac catheterization: This invasive test involves inserting a thin tube (catheter) from a blood vessel in the groin or arm & advancing it to the heart under X-ray guidance. It can measure the pressure and oxygen levels in different heart parts and inject contrast dye to visualize the coronary arteries and valves. It can also perform interventions, such as balloon angioplasty or stent placement, to treat any artery blockages.

– Stress testing: This test evaluates how well the heart works under physical or pharmacological stress. It can be done by making the patient exercise on a treadmill or bike while monitoring their ECG, blood pressure, and oxygen saturation. Alternatively, it can be done by injecting a drug that mimics exercise by increasing the heart rate and blood flow. Stress testing can show how well the heart responds to increased demand and detect any signs of ischemia or arrhythmia.

– Cardiac MRI: This advanced imaging test uses a powerful magnetic field & radio waves to create detailed pictures of the heart & its structures. It can provide more information than an echocardiogram about the anatomy and function of the heart and valves. It can also assess the extent of damage or scarring in the heart muscle.

The costs of these tests may vary depending on several factors, such as:

– The type and number of tests required

– The location and facility where they are performed

– The insurance coverage and reimbursement policies

– The currency exchange rate and inflation

However, as a rough estimate, here are some average costs of these tests in India (in Indian rupees):

Test	Cost In INR
Chest X-ray	200 – 500
Blood tests	500 – 2000
Electrocardiogram (ECG)	100 – 300
Cardiac MRI	10,000 – 25,000
Stress testing	3000 – 10,000
Cardiac catheterization	20,000 – 50,000
Echocardiogram	1000 – 3000

Best Hospitals for Aortic Valve Replacement in India

1. Indraprastha Apollo Hospital, New Delhi

Hospital Overview

• Name and Location: Indraprastha Apollo Hospital, Sarita Vihar, New Delhi
• Introduction: Established in 1996, Indraprastha Apollo is a flagship hospital of the Apollo Group known for its state-of-the-art infrastructure and cutting-edge medical services. The hospital is a leading name in cardiac care and is especially recognised for its expertise in minimally invasive cardiac surgeries.

Achievements in Aortic Valve Replacement

• Milestones: Among the first hospitals in India to perform Transcatheter Aortic Valve Replacement (TAVR) procedures successfully.
• Success Stories: Successfully performed TAVR on an 85-year-old patient deemed high-risk for open-heart surgery, which was widely covered in the media.
• Innovations: Pioneered using hybrid operating rooms to ensure precise outcomes for aortic valve replacement surgeries.
• Volume of Procedures: Conducts over 300 aortic valve replacement surgeries annually.
• Success Rates: Boasts a success rate exceeding 95% for valve replacement surgeries.
• Research Contributions: Contributed to international trials on next-generation valve technologies.
• Collaborations: Collaborates with Cleveland Clinic and other international centres for advancements in cardiac surgery.

Specialities and Services

• Specialties: Cardiovascular and thoracic surgery, interventional cardiology, and minimally invasive cardiac procedures.
• Services: Offers aortic valve replacement through traditional, minimally invasive, and transcatheter approaches. Comprehensive post-operative rehabilitation programs are also available.

Accreditations and Awards

• Accreditations: JCI and NABH-certified hospital.
• Awards: Received the “Best Cardiac Care Center in India” at the Global Health Excellence Awards 2021.

Medical Staff

• Doctors and Specialists: Features experts like Dr. M. S. Hiremath and Dr. Aseem Dhall specialise in TAVR and advanced cardiac surgery.
• Nursing and Support Staff: Highly trained staff in managing critical cardiac cases.

Facilities and Technology

• Infrastructure: Equipped with 700 beds, advanced hybrid operating rooms, and state-of-the-art cath labs.
• Technology: Features 3D imaging systems, robotic-assisted surgical tools, and AI-enabled diagnostic platforms.

2. Apollo Hospitals, Greams Road, Chennai

Hospital Overview

• Name and Location: Apollo Hospitals, Greams Road, Chennai, Tamil Nadu
• Introduction: Established in 1983, this is the flagship hospital of the Apollo Group. Renowned for its clinical excellence, it is a preferred destination for cardiac surgeries, including complex valve replacements.

Achievements in Aortic Valve Replacement

• Milestones: Successfully performed India’s first minimally invasive valve replacement surgery.
• Success Stories: Notable for conducting aortic valve replacement in patients over 90 years of age with remarkable outcomes.
• Innovations: Advanced imaging systems and TAVR procedures for patients unfit for conventional surgery.
• Volume of Procedures: Handles over 400 aortic valve replacement cases annually.
• Success Rates: Reports a 97% success rate for valve replacement surgeries.
• Research Contributions: Published research on valve durability and outcomes in reputed journals.
• Collaborations: Partners with international institutions like the Mayo Clinic for cardiac research and advancements.

Specialities and Services

• Specialties: Cardiothoracic and vascular surgery, interventional cardiology, and heart failure management.
• Services: Offers traditional and TAVR procedures, 24/7 emergency care, and rehabilitation services.

Accreditations and Awards

• Accreditations: NABH and JCI-certified hospital.
• Awards: Awarded “Best Hospital for Cardiac Care” by Newsweek in 2022.

Medical Staff

• Doctors and Specialists: Led by renowned cardiothoracic surgeons like Dr. M. R. Girinath and Dr. Sai Satish.
• Nursing and Support Staff: Specialized nursing team trained in handling post-operative cardiac care.

Facilities and Technology

• Infrastructure: Houses 600 beds, six cath labs, and hybrid operating theatres.
• Technology: Equipped with next-generation robotic systems, AI-driven diagnostics, and advanced imaging technologies.

3. Medanta – The Medicity, Gurgaon

Hospital Overview

• Name and Location: Medanta – The Medicity, Sector 38, Gurgaon, Haryana
• Introduction: Founded in 2009 by renowned cardiac surgeon Dr Naresh Trehan, Medanta is a multi-specialty hospital with a globally recognised Heart Institute. It is known for its innovative and patient-centric approach to cardiac care.

Achievements in Aortic Valve Replacement

• Milestones: Among the first hospitals in India to adopt Transcatheter Aortic Valve Replacement (TAVR) as a primary treatment option for high-risk patients.
• Success Stories: Successfully treated a 92-year-old patient with severe aortic stenosis using TAVR, a feat covered widely in the media.
• Innovations: Known for its hybrid operating rooms and cutting-edge techniques in minimally invasive valve replacement.
• Volume of Procedures: Conducts over 350 valve replacement surgeries annually.
• Success Rates: Reports a 96% success rate in aortic valve replacement procedures.
• Research Contributions: Participates in clinical trials for new valve technologies and contributes to leading journals.
• Collaborations: Collaborates with Cleveland Clinic for advancements in cardiac care and training.

Specialities and Services

• Specialities: Interventional cardiology, electrophysiology, and minimally invasive cardiac surgery.
• Services: Offers traditional valve replacement, TAVR, and comprehensive cardiac rehabilitation programs.

Accreditations and Awards

• Accreditations: NABH and JCI-accredited.
• Awards: Named “Best Multi-Specialty Hospital for Cardiac Care” by the Economic Times Healthcare Awards in 2022.

Medical Staff

• Doctors and Specialists: Dr. Naresh Trehan leads a team of expert cardiologists and cardiac surgeons specialising in valve replacements.
• Nursing and Support Staff: Well-trained nursing staff in managing critical post-operative care for cardiac patients.

Facilities and Technology

• Infrastructure: Offers over 1,250 beds, six cath labs, and state-of-the-art ICUs for cardiac patients.
• Technology: Equipped with AI-driven imaging, robotic-assisted surgical systems, and advanced 3D mapping technology.

4. Kokilaben Dhirubhai Ambani Hospital, Mumbai

Hospital Overview

• Name and Location: Kokilaben Dhirubhai Ambani Hospital, Andheri West, Mumbai, Maharashtra
• Introduction: Established in 2009, Kokilaben Hospital is a premier healthcare facility offering world-class medical services. Its cardiac sciences department is renowned for performing complex surgeries with high precision.

Achievements in Aortic Valve Replacement

• Milestones: First hospital in Western India to introduce minimally invasive valve replacement surgeries.
• Success Stories: Successfully performed valve replacement on an octogenarian with multiple comorbidities, achieving excellent post-operative recovery.
• Innovations: Advanced imaging techniques and precision-based surgical procedures for TAVR.
• Volume of Procedures: Conducts around 250 valve replacement surgeries annually.
• Success Rates: Maintains a success rate of over 94% in valve replacement procedures.
• Research Contributions: Published papers on valve durability and TAVR outcomes in international journals.
• Collaborations: Collaborates with global healthcare institutions for technology upgrades and research.

Specialities and Services: Interventional cardiology, minimally invasive cardiac surgery, and heart failure management.

• Services: Offers TAVR, traditional valve replacement, and advanced diagnostic and rehabilitation services.

Accreditations and Awards

• Accreditations: NABH and ISO-certified hospital.
• Awards: Received the “Excellence in Cardiac Care Award” at the 2021 India Healthcare Awards.

Medical Staff

• Doctors and Specialists: Features top cardiologists like Dr. Nitin Gokhale and Dr. Jamshed Dalal, experts in valve replacement surgeries.
• Nursing and Support Staff: Highly skilled nursing team trained in cardiac critical care.

Facilities and Technology

• Infrastructure: Houses over 750 beds, 4 cath labs, and specialised cardiac ICUs.
• Technology: Equipped with hybrid operating rooms, robotic surgical systems, and high-definition imaging technologies.

5. Fortis Escorts Heart Institute, New Delhi

Hospital Overview

• Name and Location: Fortis Escorts Heart Institute, Okhla Road, New Delhi
• Introduction: Established in 1988, this institute is a leader in cardiovascular care and has pioneered several advancements in cardiac surgery in India. Its heart team is globally recognised for handling complex cardiac cases.

Achievements in Aortic Valve Replacement

• Milestones: First hospital in India to perform robotic-assisted aortic valve replacement surgery.
• Success Stories: Treated a 75-year-old patient with severe aortic stenosis using robotic-assisted surgery, achieving excellent recovery 
• Innovations: Specialized in minimally invasive and robotic-assisted valve replacement procedures.
• Volume of Procedures: Handles over 400 valve replacement cases annually.
• Success Rates: Reports a 95% success rate in valve replacement surgeries.
• Research Contributions: Published research on robotic surgery outcomes in cardiac patients.
• Collaborations: Collaborates with international institutions like Mount Sinai Hospital for advanced research and training.

Specialities and Services

• Specialities: Robotic cardiac surgery, interventional cardiology, and electrophysiology.
• Services: Offers TAVR, robotic-assisted valve replacement, and comprehensive cardiac care services.

Accreditations and Awards

• Accreditations: NABH and JCI-certified.
• Awards: Won the “Healthcare Excellence in Cardiac Surgery” award in 2020.

Medical Staff

• Doctors and Specialists: Led by renowned cardiac surgeon Dr Ashok Seth, a pioneer in interventional cardiology.
• Nursing and Support Staff: Dedicated team trained in advanced cardiac care.

Facilities and Technology

• Infrastructure: Includes 310+ beds, five cath labs, and advanced ICUs for cardiac patients.
• Technology: Equipped with AI-enabled imaging, robotic surgical systems, and advanced hybrid operating theatres.

6. Apollo Gleneagles Hospital, Kolkata

Hospital Overview

• Name and Location: Apollo Gleneagles Hospital, Kolkata, West Bengal
• Introduction: A collaboration between Apollo Hospitals Group and Parkway Health of Singapore, Apollo Gleneagles is a premier multi-specialty hospital in Eastern India. It is known for its state-of-the-art infrastructure and advanced cardiac care.

Achievements in Aortic Valve Replacement

• Milestones: Among the first hospitals in Eastern India to introduce minimally invasive aortic valve replacement techniques.
• Success Stories: Successfully treated a 65-year-old patient with a complex aortic valve condition using TAVR, leading to a quick recovery.
• Innovations: Pioneered using AI-driven diagnostics for valve assessment and surgical planning.
• Volume of Procedures: Performs over 200 valve replacement surgeries annually.
• Success Rates: Reports a success rate of 93% in valve replacement procedures.
• Research Contributions: Published studies on valve replacement outcomes in high-risk patients in national medical journals.
• Collaborations: Works with Parkway Health for technology exchange and training programs.

Specialities and Services

• Specialities: Interventional cardiology, electrophysiology, and minimally invasive cardiac surgery.
• Services: These include TAVR, traditional valve replacement, and post-operative rehabilitation programs.

Accreditations and Awards

• Accreditations: NABH and JCI-accredited.
• Awards: Recognized as the “Best Private Hospital in Eastern India” by the India Healthcare Awards in 2021.

Medical Staff

• Doctors and Specialists: Features renowned cardiologists like Dr. Kunal Sarkar and Dr. Saptarshi Basu, who specialise in valve replacement surgeries.
• Nursing and Support Staff: Trained to manage critical care and post-operative recovery for cardiac patients.

Facilities and Technology

• Infrastructure: Houses 700+ beds, 4 advanced cath labs, and dedicated cardiac ICUs.
• Technology: Equipped with hybrid operating rooms, advanced imaging systems, and AI-based diagnostic tools.

7. Artemis Hospital, Gurgaon

Hospital Overview

• Name and Location: Artemis Hospital, Sector 51, Gurgaon, Haryana
• Introduction: Established in 2007, Artemis Hospital is a JCI- and NABH-accredited multi-specialty hospital. It has a dedicated cardiac sciences department offering advanced treatments and surgeries.

Achievements in Aortic Valve Replacement

• Milestones: Among the first in Northern India to perform Transcatheter Aortic Valve Implantation (TAVI) for elderly patients.
• Success Stories: Successfully treated a 70-year-old patient with severe comorbidities using minimally invasive valve replacement techniques.
• Innovations: Focused on using 3D imaging and navigation systems for precise valve implantation.
• Volume of Procedures: Conducts approximately 150 valve replacement surgeries annually.
• Success Rates: Maintains a success rate of 94% in valve replacement procedures.
• Research Contributions: Engages in collaborative research on TAVI outcomes and valve durability.
• Collaborations: Partners with international cardiac centres for training and technology exchange.

Specialities and Services

• Specialities: Interventional cardiology, cardiac surgery, and advanced imaging for valve assessment.
• Services: Offers TAVI, traditional valve replacement, and specialised post-operative care.

Accreditations and Awards

• Accreditations: NABH and JCI-certified.
• Awards: Received the “Excellence in Cardiology Award” by FICCI Healthcare Excellence Awards in 2020.

Medical Staff

• Doctors and Specialists: Dr. Balbir Singh, a leading interventional cardiologist, heads the cardiac team.
• Nursing and Support Staff: Specialized cardiac care nurses ensure superior patient outcomes.

Facilities and Technology

• Infrastructure: Features over 500 beds, hybrid cath labs, and dedicated cardiac ICUs.
• Technology: Advanced hybrid operating theatres, robotic surgical systems, and AI-enabled imaging tools.

8. Nanavati Max Super Speciality Hospital, Mumbai

Hospital Overview

• Name and Location: Nanavati Max Super Speciality Hospital, Vile Parle West, Mumbai, Maharashtra
• Introduction: Established in 1950, Nanavati Max is one of Mumbai’s oldest and most prestigious hospitals. Its cardiac sciences department offers world-class care with a focus on innovation and precision.

Achievements in Aortic Valve Replacement

• Milestones: Successfully performed Mumbai’s first minimally invasive aortic valve replacement surgery.
• Success Stories: Treated a high-risk patient with multiple comorbidities using TAVI, achieving excellent outcomes 
• Innovations: Focuses on minimally invasive techniques and advanced imaging for accurate valve placement.
• Volume of Procedures: Handles around 200 valve replacement surgeries annually.
• Success Rates: Reports a success rate of 92% in valve replacement surgeries.
• Research Contributions: Contributes to national studies on valve replacement techniques and outcomes.
• Collaborations: Partners with international cardiac centres for training and research.

Specialities and Services

• Specialities: Interventional cardiology, minimally invasive surgery, and pediatric cardiac care.
• Services: These include TAVI, traditional valve replacement, and comprehensive cardiac rehabilitation.

Accreditations and Awards

• Accreditations: NABH and ISO-certified hospital.
• Awards: Recognized for “Excellence in Cardiology” at the Times Healthcare Awards 2021.

Medical Staff

• Doctors and Specialists: Features leading cardiologists like Dr. Samir Kubba and Dr. Rajeev Boudhankar.
• Nursing and Support Staff: Skilled team trained in critical cardiac care.

Facilities and Technology

• Infrastructure: Offers 350+ beds, hybrid cath labs, and state-of-the-art ICUs.
• Technology: Equipped with AI-driven diagnostics, robotic-assisted surgeries, and hybrid operating theatres.

9. Aster CMI Hospital, Bengaluru

Hospital Overview

• Name and Location: Aster CMI Hospital, Hebbal, Bengaluru, Karnataka
• Introduction: Aster CMI is a state-of-the-art multi-specialty hospital, part of the Aster DM Healthcare network. Known for its advanced infrastructure and expert medical teams, the hospital has a strong reputation in cardiac sciences.

Achievements in Aortic Valve Replacement

• Milestones: Successfully performed Bengaluru’s first Transcatheter Aortic Valve Implantation (TAVI) on a patient with severe aortic stenosis.
• Success Stories: Treated a 72-year-old patient with complex aortic valve disease using minimally invasive valve replacement techniques, enabling quick recovery 
• Innovations: Utilizes advanced echocardiography and 3D imaging for precise valve positioning.
• Volume of Procedures: Conducts approximately 150 valve replacement surgeries annually.
• Success Rates: Maintains a 94% success rate for valve replacement procedures.
• Research Contributions: Published findings on minimally invasive valve replacement techniques in international journals.
• Collaborations: Partners with global cardiac care centres for research and technology advancements.

Specialities and Services

• Specialities: Interventional cardiology, pediatric cardiology, and minimally invasive cardiac surgery.
• Services: These include TAVI, traditional valve replacement, and advanced post-surgical rehabilitation.

Accreditations and Awards

• Accreditations: NABH-accredited and ISO-certified.
• Awards: Awarded “Best Hospital for Cardiology in Karnataka” by Times Healthcare Awards in 2021.

Medical Staff

• Doctors and Specialists: Led by Dr. Anil Kumar, an expert in valve replacement surgeries with international training.
• Nursing and Support Staff: Highly skilled and trained to provide critical cardiac care.

Facilities and Technology

• Infrastructure: Offers 500+ beds, hybrid operating rooms, and specialised cardiac ICUs.
• Technology: Features AI-powered imaging systems, robotic surgical systems, and advanced valve replacement technologies.

10. Manipal Hospital, Dwarka, New Delhi

Hospital Overview

• Name and Location: Manipal Hospital, Dwarka, New Delhi
• Introduction: Established as part of the Manipal Health Enterprises, the Dwarka branch is a multi-specialty hospital offering world-class healthcare. Its cardiac care centre has the latest technology and highly skilled specialists.

Achievements in Aortic Valve Replacement

• Milestones: Among the first hospitals in Delhi to successfully perform a hybrid aortic valve replacement surgery.
• Success Stories: Treated a 68-year-old patient with severe aortic stenosis using TAVI, with recovery reported in record time.
• Innovations: Implements AI-assisted diagnostics for pre-surgical planning and 3D printing for surgical simulations.
• Volume of Procedures: Performs around 200 valve replacement surgeries annually.
• Success Rates: Reports a 95% success rate in valve replacement surgeries.
• Research Contributions: Participates in clinical trials focused on next-generation valve technologies.

Specialities and ServicesSpecialitiess: Interventional cardiology, electrophysiology, and pediatric cardiac surgery.

• Services: Offers TAVI, traditional valve replacement, and post-operative rehabilitation programs.

Accreditations and Awards

• Accreditations: NABH and JCI-certified.
• Awards: Received the “Excellence in Cardiology” award by FICCI Healthcare Excellence Awards in 2022.

Medical Staff

• Doctors and Specialists: Includes Dr. Yugal Mishra, an internationally acclaimed cardiothoracic surgeon.
• Nursing and Support Staff: Well-trained nurses in advanced cardiac care and critical care management.

Facilities and Technology

• Infrastructure: Features over 500 beds, hybrid cath labs, and advanced ICUs.

Technology: Equipped with robotic surgical systems, 3D imaging, and AI-based diagnostics.

What Is Aortic Valve Replacement?

The aortic valve is one of the four valves that manage blood flow in and out of the heart. It is located between the left ventricle (the heart’s main pumping chamber) and the aorta (the largest artery that carries oxygen-rich blood to the rest of the body). The aortic valve opens when the heart shrinks & closes when the heart relaxes, preventing blood from flowing back into the heart.

Sometimes, the aortic valve can become damaged or diseased for various reasons, such as aging, infection, congenital defects, or rheumatic fever. This can cause two main problems: aortic stenosis and aortic regurgitation.

– Aortic stenosis is when the valve becomes narrow or stiff, restricting the amount of blood that can flow out of the heart. This can cause pain in the chest, shortness of breath, fatigue, dizziness, fainting, or heart palpitations.

– Aortic regurgitation is when the valve becomes leaky or does not close properly, allowing blood to flow back into the heart. This can cause signs like swelling in the legs or abdomen, difficulty breathing, irregular heartbeat, or reduced exercise tolerance.

Both conditions can lead to severe complications, like heart failure, stroke, or sudden cardiac death. Therefore, diagnosing and treating aortic valve disease as soon as possible is essential.

Aortic valve replacement is a surgical medical process involving removing and replacing the diseased valve with an artificial one. The artificial valve can be either mechanical or biological.

– Mechanical valves result from metal or carbon materials & are designed to last a lifetime. However, they require lifelong use of blood-thinning medications (anticoagulants) to prevent blood clots from forming on or around the valve. They also produce a clicking sound that can be heard by the patient or others.

– Biological valves are made of animal tissue (such as pig or cow) or human tissue (such as from a donor or the patient’s own body). They do not require anticoagulants but have a limited lifespan (usually 10 to 15 years) and may need to be replaced. They also have a lower risk of infection than mechanical valves.

The choice of valve depends on several factors, such as the patient’s age, preference, lifestyle, medical history, and risk of bleeding or infection.

How Is Aortic Valve Replacement Performed?

Aortic valve replacement is usually conducted under general anesthesia, which means you will be asleep & not feel any pain during the surgery. The surgery can take almost 2 to 4 hours, depending on the complexity of your case.

There are two main methods of performing aortic valve replacement: conventional open-heart surgery and minimally invasive surgery.

– Conventional open-heart surgery involves making a large incision (cut) in the middle of your chest and opening your rib cage to access your heart. The surgeon then stops your heart and connects it to a heart-lung machine, taking over the function of your heart & lungs during the surgery. The surgeon then removes your diseased valve and sews in your new valve. After checking for leaks or problems with your new valve, the surgeon restarts your heart and disconnects you from the machine. The surgeon then closes your chest with wires and stitches.

– Minimally invasive surgery involves making smaller incisions in your chest or groin and using special instruments and cameras to access your heart. The surgeon does not stop your heart or use a heart-lung machine but instead uses a device called a balloon catheter to temporarily block blood flow through your aorta while replacing your valve. The surgeon then inserts your new valve through a catheter (a thin tube) into your heart and expands it into place with a balloon. The surgeon removes the catheter and balloon, restoring blood flow through your aorta.

Minimally invasive surgery has advantages over conventional open-heart surgery, such as shorter hospital stays, faster recovery, less pain, less bleeding, less scarring, and lower risk of infection. However, it is unsuitable for everyone and may have limitations, such as higher cost, limited availability, and a higher risk of stroke or valve failure.

Your surgeon will discuss the best option based on your condition, anatomy, & preference.

Success Rate Of Aortic Valve Replacement In India

The success rate of aortic valve replacement in India is around 94% to 97%, comparable to international standards. The success rate depends on various factors, such as the patient’s age, health, and disease severity. The risks and complications of aortic valve replacement are rare but may include infection, bleeding, stroke, heart attack, valve failure, or death.

What To Expect Before, During & After Aortic Valve Replacement Surgery?

Aortic valve replacement (AVR) is a medical procedure used to change a damaged aortic valve with an artificial or biological valve from a human or animal donor. Here’s what you can generally expect before, during, and after an aortic valve replacement surgery:

Before Surgery:

1. Medical Evaluation: Your medical team will thoroughly evaluate your overall health & the severity of your heart condition. This may include blood tests, imaging tests, & a comprehensive medical history review.

2. Discussion and Informed Consent: Your surgeon will explain the procedure, risks, benefits, and alternatives to you. You’ll have the opportunity to ask questions and provide informed consent.

3. Preoperative Preparation: You’ll be given specific instructions on how to prepare for surgery. This may include fasting before the procedure and discontinuing certain medications.

4. Medication Adjustments: Your healthcare provider may adjust your medications to optimize your heart function and reduce the risk of complications during surgery.

During Surgery:

1. Anesthesia: You’ll be administered general anesthesia, which will put you to sleep & ensure you don’t feel any pain during the procedure.

2. Incision: Your surgeon will make an incision, usually in the chest, to access your heart. The type and location of the incision can vary.

3. Heart-Lung Bypass: Your blood will be diverted from your heart & lungs to a heart-lung machine. This machine takes over the role of the heart & lungs, allowing the surgeon to work on the aortic valve without blood flowing through it.

4. Valve Replacement: The surgeon will remove and replace your damaged aortic valve with the chosen prosthetic or biological valve.
5. Closing Incisions: Once the new valve is in place and functioning properly, the surgeon will close the incision(s).

After Surgery:

1. Recovery Room: You will be taken to a recovery area where medical staff will closely monitor your vital signs and overall condition as you wake up from anesthesia.

2. Intensive Care Unit (ICU): Depending on your condition and hospital protocols, you may spend the first night or longer in the ICU for continuous monitoring.

3. Pain Management: You may experience pain or discomfort at the incision site, which will be managed with medications.

4. Rehabilitation: Physical therapy and breathing exercises may be initiated to help you regain strength and prevent complications.

5. Hospital Stay: The length of hospital stay will vary depending on your individual progress, but it typically ranges from a few days to a week.

6. Follow-up Care: After discharge, you’ll need regular follow-up appointments with your cardiologist to monitor your progress and make necessary adjustments to medications or therapies.

7. Lifestyle Changes: You may need to make certain lifestyle changes, including dietary modifications, exercise routines, and medication management, to support your heart health.

8. Long-Term Recovery: Complete recovery can take several weeks to months, during which you’ll gradually return to your normal activities.

It’s essential to follow your healthcare provider’s instructions closely during the entire process to ensure a successful outcome. Each individual’s experience with aortic valve replacement surgery can vary based on their overall health, the type of valve used, and any pre-existing conditions. Always connect with your healthcare team for personalized guidance.

Conclusion

Aortic valve replacement surgery is a life-saving procedure that restores normal heart function for patients with severe valve-related issues. In India, the cost of this surgery is significantly lower compared to many other countries, making it a preferred destination for medical treatment. The price typically ranges between ₹2,50,000 to ₹5,00,000, depending on factors such as the type of valve used, the surgical approach, and the city or hospital where the procedure is performed.

While this cost is relatively affordable, patients should also consider additional expenses like preoperative tests, postoperative care, and medications. Consulting with experienced surgeons and healthcare providers is crucial to understand the cost breakdown and make informed decisions. With its skilled medical professionals and advanced healthcare facilities, India provides excellent options for those considering aortic valve replacement surgery.

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FAQs Related To Aortic Valve Replacement Surgery

What Is The Success Rate Of Aortic Valve Replacement Surgery?

The success rate of aortic valve replacement surgery is relatively high. The 5-year survival rate is approximately 94%, and the 10-year survival rate is around 84%. The success rate of the surgery largely depends on the patient’s overall health and the type of valve used.

What Happens If Aortic Valve Is Not Replaced?

If the aortic valve is not replaced when needed, it can lead to severe complications. The heart has to work harder to pump blood, which can cause the left ventricle to thicken and weaken over time. This can eventually lead to heart failure, severe symptoms like chest pain, shortness of breath, and even death.

How Long Does A Replacement Aortic Valve Last?

The lifespan of a replacement aortic valve depends on the type of valve used. Mechanical valves can last a lifetime but require lifelong blood-thinning medication. Biological valves, made from animal tissue, typically last between 10 to 20 years.

How Is Aortic Valve Replacement Surgery Performed?

Aortic valve replacement surgery can be performed using open-heart surgery or a minimally invasive procedure. In open-heart surgery, the surgeon makes an incision in the chest, stops the heart, and replaces the damaged valve with a new one. In minimally invasive procedures, such as transcatheter aortic valve replacement (TAVR), a catheter replaces the valve through a small incision in the leg.

How Long Can You Live After Aortic Valve Replacement?

Life expectancy after aortic valve replacement varies based on factors like age, overall health, and the type of valve used. On average, patients can live for many years after the surgery. For example, patients aged 65 or younger have a median survival of around 16 years post-surgery.

How Much Does Aortic Valve Replacement Cost In India?

The cost of aortic valve replacement in India varies depending on the city and hospital. On average, the price ranges from ₹2,50,000 to ₹5,00,000.

For more information about the costs of other medical procedures in India, visit the Comprehensive Guide To Treatment & Surgery Costs In India.