Overview of Tricuspid Valve Repair India

Tricuspid valve repair is a procedure that treats damaged tricuspid valves - one of four valves that control blood flow.

The heart has two main valves on the right side - the pulmonary valve and tricuspid valve. The tricuspid valve has three flaps that open and close and control the blood flow from the right atrium to the right ventricle and prevent blood from flowing back towards the heart. When this does not work properly either it does not close properly and blood leaks backward to the atrium (regurgitation) or is narrowed due to which enough blood cannot pass through into the right ventricle (stenosis). In either of the cases, Tricuspid Valve Repair surgery is done to restore normal blood flow and preserve the functionality of heart muscle.

Why is it done?

The treatment for damaged valves depends on the severity of the health condition and whether or not it is getting worse. Few patients with this disease do not show any symptoms. For these types of patients, regular monitoring is required by the doctor. There are three major types of valve diseases that require tricuspid valve replacement or repair, including:

01. Tricuspid Valve Regurgitation - It occurs when the tricuspid valve fails to close properly due to which blood flow back in the right atrium.

02. Tricuspid Valve Stenosis - In this case, the tricuspid valve is narrowed or obstructed making it difficult for blood to pass from the right atrium to the right ventricle.

03. Tricuspid Atresia - It is a type of congenital heart disease. It occurs when a baby is born with an opening that allows blood to flow from the right atrium to the right ventricle or without a tricuspid valve

Types of Tricuspid Valve Repair India

Tricuspid Valve Replacement or Repair?

Though there are two options available to treat this disease - Tricuspid valve replacement and Tricuspid valve repair. However, valve repair is the preferred choice due to the lower risk of infection. The surgeon suggests Tricuspid valve repair or replacement after analyzing many things, including:

01. The severity of the disease

02. Patients age and health

03. Any other heart problem that requires surgery so that both diseases can be treated at once

Advantages of Repair

01. Lower risk of infection

02. No need to take blood thinners

03. Longer survival rate

04. Better results than replacement

05. Lower chances of blood clots

Types of Tricuspid Valve Repair Surgery

There are two different tricuspid valve repair surgeries - traditional or minimally invasive. Surgeons will analyze the overall medical condition and the severity of valve disease before suggesting any surgery.

01. Traditional Tricuspid Valve Repair Surgery

02. Minimally invasive valve repair surgery

Procedure

Before the Procedure

The doctor and medical team will explain to the patient what to expect from the surgery and the risks of the surgery. On the day of surgery, avoid wearing jewellery, eyeglasses, contact lenses, dentures, and nail polish.

During the Procedure

The patient will receive anesthetics and he will be unconscious during the surgery. A heart-bypass machine is used for the blood flow in the body. The repair procedures may involve different types of repair, including:

01. Traditional Tricuspid Valve Repair Surgery

This is an open-heart procedure which means the cardiothoracic surgeon makes a 6 to 8 inch long incision in the breastbone to open the chest. The heart is stopped during this surgery and the heart-lung bypass machine works as a heart. This machine circulates blood through the patient's body. Depending on the valve problem, a doctor can perform different repair procedures on torn leaflets and reshape parts of the valve or separate leaflets that have narrowed or fused. These procedures can be Annulus support or Leaflet patching.

In the Annulus support procedure, a synthetic or tissue-based ring to reinforce the annulus. The annulus is the ring of tissue at the bottom of leaflets. With this procedure, the annulus is restored to the right size and shape which allows leaflets to close and open normally. It is the preferred surgical approach to treat tricuspid regurgitation. In Leaflet patching, the surgeon repairs the diseased leaflet with a patch to control the leakage in the valve. It is used to treat tricuspid valve regurgitation.

02. Minimally Invasive Tricuspid Valve Repair Surgery

In minimally invasive surgery, the surgeon makes 2- to 4 J-shaped incisions to open the chest. This type of surgery is not safe for all patients. However, doctors will recommend surgery based on the patient's circumstances and symptoms. The pros of minimally invasive surgery are:

2.1. Less blood loss

2.2. Reduced surgical trauma

2.3. Reduced hospital stay

03. Cone Tricuspid Valve Repair

It is an advanced procedure for tricuspid valve repair. Surgeons separate the leaflets which are then rotated and reattached to leaflet tissue to create leaflet cones.

Diagnosis of Tricuspid Valve Repair India

Symptoms of Tricuspid Valve Disease

The symptoms depend on the severity of the disease. The mild tricuspid valve disease does not cause any symptoms, whereas severe valve disease may cause pulsing in the neck, weakness, fatigue, shortness of breath, and swelling in ankles and feet. Babies born with this valve disease have blue-tinged skin or lips and may be short of breath and tire easily.

Diagnosis of Tricuspid Valve Disease

It can be detected by a heart specialist if heart sound is abnormal when heard through a stethoscope. It is the first step. For further diagnosis, the doctor may use one of the following tests:

01. Electrocardiogram (ECG or EKG)

02. Chest X-ray

03. Echocardiogram (Echo)

04. Magnetic resonance imaging (MRI)

05. 2D echocardiogram (2D Echo)

06. Computed Tomography (CT) Angiography

07. Transesophageal echocardiogram (TEE)

08. Cardiac catheterization

Symptoms and Risk factors

Tricuspid Valve Repair Surgery Recovery

After surgery, there will be a tube inserted in a throat to assist breathing by a ventilator. The tube will be removed after a few days or when the patient is able to breathe completely. The required hospital stay after tricuspid valve repair surgery is 5 days, although the hospital stay depends on the procedure done and overall health. The recovery phase continues at home and patients may return to normal activities within 3 to 4 months. Everyday activities such as lifting objects and driving can be resumed after the doctors advice. Patients may need to take prescribed medicines for 6 weeks to 3 months post-surgery.

Top Hospitals for Tricuspid Valve Repair in India

Shaping the future of the healthcare institution and establishing the path to accomplishment.

Burjeel Medical Hospital City Abu Dhabi,UAE

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Gleneagles Global Health City Perumbakkam , Chennai,India

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Manipal Hospital, Mysore Bengaluru,India

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Manipal Hospital, Pune Pune,India

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Manipal Hospital, Jaipur Jaipur,India

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Top Doctors for Tricuspid Valve Repair in India

Empower your Health with the Expertise of Leading Medical Professionals.

Dr. Ajay Kaul

Department of Cardio Thoracic and Vascular Surgery

Senior Consultant

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Dr. Y Vijayachandra Reddy

Department of Cardiology

Consultant

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Dr. Salgunan Nair

Department of Cardio Thoracic and Vascular Surgery

Consultant

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Dr. K Dhamodaran

Department of Cardiology

Consultant

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Dr. Anand Gnanaraj

Department of Cardiology

Consultant

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Treatment Costs for Tricuspid Valve Repair

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Tricuspid Valve Repair - Frequently Asked Questions

There are two different procedures for tricuspid valve replacement and repair - traditional tricuspid valve repair and minimally invasive valve repair. However, the repair is usually done with open-heart surgery.

The required hospital stay for open heart surgery is 7 to 10 days.

Tricuspid valve repair is a major surgery that risks bleeding, blood clots, valve dysfunction in replacement valves (valve prostheses), heart rhythm problems, infection, or stroke.

Tricuspid valve replacement is not a preferred procedure as tricuspid valve disease is rare and can be treated with repair surgery.

In tricuspid valve regurgitation, pressure can increase on the right ventricle due to blood flowing backward into the right atrium. If tricuspid valve regurgitation is left untreated, it can worsen the health and can lead to heart failure.

There are four valves in the heart: the tricuspid valve, the pulmonary, the aortic valve, and the mitral valve. People can live without the pulmonary valve and tricuspid valve.

The results of tricuspid valve repair surgery last for 15 to 20 years. Moreover, patients do not have to take blood thinners.

After ten years of surgery, the majority of people still had a good functioning valve. The studies show that 89.7% of patients survived for two years post-surgery, 78% survived for five years, 57% survived for 10 years, 40% survived for 15 years, and 25% survived for 20 years.

During tricuspid valve repair or replacement surgery, an incision is made in the breastbone. The heart is stopped, and the heart-lung machine is used to supply blood to the body.

This valve is located between the right atrium and the right ventricle and separates them. When this valve fails to close properly, tricuspid regurgitation occurs. In this condition, blood will flow back into the right atrium when the right ventricle meets. This disease can weaken the heart over a period of time.

Candidates with a leaky heart valve can benefit from daily light exercise, like walking. When valve disease gets severe, exercise may be a problem. However, before starting any strenuous or contact sports, consult with a doctor.

Tricuspid regurgitation is caused when the lower right heart chamber increases in size due to which the tricuspid valve stops working properly. Rheumatic valve disease is the main reason behind tricuspid regurgitation.