Double Valve Replacement at Max Hospital
Double valve replacement surgery, also known as heart valve replacement surgery, becomes necessary when the valves of the heart fail to function properly. This procedure aims to replace damaged valves, allowing the heart to function efficiently and preventing further damage to heart muscles.
The heart has four valves – aortic, mitral, pulmonary, and tricuspid valves – facilitating blood flow within the body and throughout the heart. Valvular heart disease may develop due to irreparable damage to any of these valves, initially showing minimal symptoms. However, when symptoms such as difficulty breathing, arrhythmias, and fainting arise, immediate treatment is crucial to prevent fatal outcomes.
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Types of Valve Replacement
Valve replacements can be either mechanical or biological. Mechanical valves, made from biocompatible materials, last 10 to 20 years but may cause blood clotting, necessitating lifelong blood thinners. Biological valves, derived from human or animal tissue, include allografts, porcine valves, and bovine valves. While the risk of stroke is lower with biological valves, they have a shorter lifespan compared to mechanical ones.
When is the Procedure Needed?
Double valve replacement is indicated for conditions such as valve regurgitation and valve stenosis. Symptoms of a malfunctioning valve include fatigue, dizziness, chest pain, and fluid retention. Ideal candidates for the procedure should meet specific criteria, including age, tolerance to surgery, ongoing medications, irreparable valve, and failed previous valve repair or replacement.
Who are the Ideal Patients for Double Valve Replacement (DVR)?
Patients meeting criteria such as age, tolerance to surgery, ongoing medications, irreparable valve, and complications like infection or blood clots are considered ideal candidates. Patients with contraindications for blood thinners or severe medical co-morbidities like advanced cancer, severe lung disease, or multi-organ failure are not suitable for DVR. Severe dementia affecting the ability to understand and consent to the procedure is also a contraindication.
How to Prepare for Surgery?
Preparation involves discussing medical history, informing about ongoing medications, and quitting smoking and drinking to enhance surgical outcomes. Blood thinners are stopped before surgery, and prophylactic antibiotics may be prescribed. Patients should shower before surgery, avoid eating or drinking for a specified period, and refrain from wearing jewelry.
What Happens During a Double Valve Replacement (DVR) Procedure?
Performed under general anesthesia, DVR involves making incisions to replace valves. Traditional surgery requires a large incision, while minimally invasive procedures use shorter incisions to reduce infection risk. A bypass machine maintains blood flow, and once the valves are replaced, incisions are closed, drains are placed, and patients are monitored in the ICU.
Risks/Complications
While DVR has associated risks, the fatality rate is low. Complications may include bleeding, infection, blood clots leading to stroke or heart attack, breathing problems, valve failure, endocarditis, pneumonia, arrhythmias, and allergic reactions to anesthesia.
Care after Procedure
Post-surgery, patients are monitored in the ICU with IV fluids, painkillers, and antibiotics. Oxygen may be provided, and drains and catheters are used to eliminate waste. After ICU, patients move to regular rooms, gradually starting movement and breathing exercises. Post-discharge instructions include avoiding heavy lifting, taking prescribed medications, resting, avoiding stress, and making lifestyle changes.
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Dr. Rajneesh Malhotra
Specialist: Cardiac Surgeon/Thoracic Surgeon
Experience: 23+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Currently associated as Director – Cardio Thoracic & Vascular Surgery at Max Super Speciality Hospital, Saket.
- Carries 25 years of rich experience in cardiac surgery.
- Expert in Minimally Invasive Cardiac Surgery, Minimally Invasive Mitral Valve Replacement, and repairs, Coronary Artery Bypass Grafting (CABG), Aortic Valve Replacement and Repair, Atrial Septal Defects (ASD’s).
Dr. Ganesh K. Mani
Specialist: Cardiac Surgeon
Experience: 37+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Presently working as the Chairman of Cardio Thoracic and Vascular Surgery at Max Smart Super Specialty Saket City Hospital, New Delhi.
- Prior to joining Max Smart Super Specialty Saket City Hospital & Saket City Hospital, he was associated with Indraprastha Apollo Hospital and Pushpanjali Crosslay Hospital.
- Performed over 18000 Cardiac Surgeries and has achieved zero mortality in more than 500 consecutive surgeries and has also pioneered Beating Heart Coronary Artery Bypass.
Dr. Rahul Mehrotra
Specialist: Cardiologist
Experience: 20+years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Rahul Mehrotra is a reputed Cardiologist in Gurgaon with over 20+ years of experience.He currently practices at Max Super Speciality Hospital, Saket in Saket(Delhi).
- Dr. Rahul Mehrotra holds membership of Cardiological Society of India (CSI), American Society of Echocardiography and Indian Academy of Echocardiography.
- Dr. Rahul Mehrotra has pursued his DNB – Cardiology from Diploma National Board, MD – Medicine from Dr. Sampurnanand Medical College, Jodhpur, MBBS from Dr. Sampurnanand Medical College and Jodhpur in 1998.
Dr. C P Roy
Specialist: Cardiologist
Experience: 32+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. C P Roy is currently working at Max Super Speciality Hospital, Saket in Saket(Delhi).
- He was Head of Department of Medical Education (Cardiology) and Senior Consultant, Cardiology. He was also Incharge of training DNB Cardiology and PGDCC (Postgraduate Diploma in Clinical Cardiology).
- He is a highly skilled Cardiologist and Aortic Valve Surgeon in Delhi.
Dr. Anupam Goel
Specialist: Interventional Cardiologist
Experience: 23+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Anupam Goel got trained in cardiology from GB Pant Hospital, Delhi and King George Medical University, Lucknow.
- Dr. Anupam Goelworked in Kailash Heart Institute and Research Centre, Noida briefly as consultant and then joined Max Healthcare as Interventional Cardiologist.
- Dr. Anupam Goel is a gold medal recipient in graduation.
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Dr. V K Chopra
Specialist: Interventional Cardiologist
Experience: 37+years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Chopra is a senior cardiologist with experience of 37+ years.
- He is one of the most experienced doctors in the field of preventive cardiology and management of patients with advanced heart disease.
- He has been trained from the reputed American College Of Cardiology.
Dr. Sanjeev Malhotra
Specialist: Cardiac Surgeon
Experience: 15+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Sanjeev Malhotra is a cardiothoracic surgeon with over 15 years of experience in managing complex cardiovascular and thoracic surgeries.
- Dr. Sanjeev Malhotra completed his Masters in General Surgery and subsequently received a Diplomate National Board of Examination (CTVS).
- Dr. Sanjeev Malhotra has done more than 2000 cardiac procedures including Mitral Valve repairs, total Arterial bypass, Thoracic surgeries and Minimally invasive surgeries.
Dr. Akhilesh Srivastava
Specialist: Interventional Cardiologist
Experience: 19+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Akhilesh Srivastava is presently working as Senior Consultant of Non invasive Cardiology at Max Smart Super Specialty Hospital, Saket, New Delhi
- Dr. Akhilesh Srivastava specializes in Non Invasive cardiology and Preventive health checks
- Dr. Akhilesh Srivastava is a member of reputed organisations such as Delhi Medical Association, Cardiological society of India
Dr. Ashok K Gupta
Specialist: Cardiac Surgeon
Experience: 30+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Ashok K Gupta is a renowned Cardiothoracic Surgeon practising successfully for more than 30+ years.
- Dr. Ashok K Gupta is adept in performing CABG, Beating Heart CABG, Total Atrial Bypass, and Complex CABG etc.
- Dr. Ashok K Gupta his career spanning nearly three decades.
Dr. Rahul Chandola
Specialist: Cardiac Surgeon
Experience: 20+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Rahul Chandola is currently associated as Senior Consultant with the Department of Cardiothoracic Surgery at Max hospitals, New Delhi.
- Expertise lies in Heart Transplantation & Lung Transplantation and performed more than 100 successful heart transplants
- Interests are Adult and Pediatric – Heart Transplants, VADS and Artificial Heart, Off-pump single as well as double lung transplantations, Bilateral lung transplantations through midline sternotomies, Ex-vivo lung perfusion techniques for donor lung preservation, Ex Vivo Perfusion for donor’s hearts and ECMO
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Dr. Kulbhushan Singh Dagar
Specialist: Cardiac Surgeon
Experience: 30+ years of experience overall
Hospital: Max Hospital Saket
About Doctor:
- Principal Director, Chief Surgeon & Head – Neonatal & Congenital Heart Surgery.
- Dr. Kulbhushan S. Dagar has been in the field of cardiac surgery for over 30 years, of which the last decade and a half has been dedicated exclusively to the care of infants and children with congenital heart defects.
- An accomplished surgeon, he has operated upon the whole spectrum of Congenital Cardiac Defects in newborns and children, regardless of complexity.
Dr. Vinay Kumar Bahl
Specialist: Cardiologist
Experience: 40+ years of experience overall
Hospital: Max Hospital Saket
About Doctor:
- Principal Director – Cardiac Sciences
- Dr Vinay Kumar Bahl, former Dean and Chief of Cardio Thoracic Centre and Head of Cardiology at All India Institute of Medical Sciences (AIIMS), New Delhi, is a world-renowned name in the field of cardiology.
- He joined AIIMS in 1985 and brings over 40 years of experience and leadership in Cardiac Treatments at Max Hospitals.
Dr. S. K. Sinha
Specialist: Cardiac Surgeon
Experience: 31+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr S K Sinha is one of the leading Cardiac Surgeon In India.
- Dr S K Sinha has experience of over 31+ years & has performed more than 10,000 cases .
- Dr S K Sinha completed his MBBS from AFMC,Pune & his MS from Patna University.Following which he did his Mch from the famed PGIMER,Chandigerh.
Dr. Mohan Bhargava
Speciality: Cardiologist
Experience: 35+ Years Experience
Hospital: Max Hospital Saket
About doctor:
- Dr. Mohan Bhargava is a Cardiologist of high acclaim with experience of over 35 years.
- He deals with cases of Coronary and Endovascular Interventions.
- He has been engaged in teaching for 18 years and is a Guide and Examiner of DNB, and FNB (Interventional cardiology).
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Max Hospital Saket Delhi
Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM
About Hospital:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.