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A workforce of cardiologists of the Christian Medical College (CMC) Hospital, Vellore, has used a novel percutaneous path to implant a pulmonary valve in a 54-year-old girl from Puducherry. The doctors implanted the brand new heart valve through the jugular vein, a blood vessel within the neck.
The affected person had undergone open heart surgical procedure for “Tetralogy of Fallot”, a situation within the heart that causes oxygenated blood and deoxygenated blood to combine with not sufficient blood reaching the lungs, when she was 9, at CMC. She had lately approached the hospital with progressive fatigue and hassle in doing her family actions.
At CMC, doctors discovered that one in every of her valves in the fitting aspect of the heart — pulmonary valve — was faulty and was permitting reverse movement of blood into the heart.
This induced her pulmonary artery, the blood vessel that carries blood to the lungs, to enlarge considerably. If left untreated, this might result in progressive deterioration of the heart perform, based on a press launch.
After an in depth analysis, the structural heart workforce was of the view that she wanted a brand new valve. Considering that she had undergone an open heart surgical procedure previously, a repeat surgical procedure would carry greater dangers and require extended hospital keep.
Non-surgical implant
Doctors identified that current technological developments in interventional cardiology allowed for implantation of recent valves non-surgically. Over the previous 4 years, they’ve been following a low-cost non-surgical or percutaneous valve implantation programme. By avoiding an open-heart surgical procedure, the percutaneous process helped in decreasing hospitalisation time and led to faster restoration, doctors stated.
For this affected person, doctors used a made-in-India synthetic heart tissue valve that was more and more utilized in European nations akin to Germany and the Netherlands.
With the affected person’s pulmonary artery turning into exceptionally massive, the most important portion of 32 mm of synthetic valve was utilised for the process.
A workforce of cardiologists of cardiology unit-2 John Jose, Paul V. George and Harsha Teja — implanted the valve within the pulmonary place through the jugular vein below anaesthetic assist by the cardiac anaesthetic workforce Raj Sahajanandan, Balaji and Kirubakaran.
“We have previously done valvuloplasties through the jugular vein. In some patients, inserting the catheter through the femoral vein (in the groin) and taking it to the heart can be technically challenging due to normal anatomical angulations and distortions due to disease pathology. In this patient, we had to take a large valve of 32 mm that required a puncture of about 8 mm in the jugular vein. This was the biggest challenge in the procedure,” Dr. Jose, professor of cardiology, stated.
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