~The patient with severe mitral regurgitation successfully underwent MitraClip Procedure, marking a significant step forward in minimally invasive heart care (Mitral Valve Repair without surgery)
Navi Mumbai: A team consisting of Dr Anup Mahajani, Sr. Interventional Cardiologist and Valves Expert at Medicover Hospital, Dr Saibal Kar, Interventional Cardiologist- Inventor of the procedure(California, USA) , Dr Manoj Agarwala (Sr Interventional Cardiologist, Hyderabad), Dr Nitin Burkule (Sr interventional Cardiologist and Echocardiography Expert)successfully performed a rare and complex MitraClip procedure on an 78-year-old man suffering from severe mitral regurgitation ( a leaky valve in the heart's left side) and advanced heart failure. This latest procedure gives new hope to patients who are high-risk candidates for open-heart surgery.
Patient Mr Shivaji Sanglikar,a resident of Mumbai had been battling chronic heart failure due to a severely reduced ejection fraction of just 10% and mitral regurgitation for more than 3 years. He underwent CRT-D implantation six months ago by Dr Anup Mahajani at Medicover Hospital,which improved his ejection fraction to 35% after which his quality of life improved and repeated hospital admissions for heart failure were curtailed. Still he continued to have breathlessness sometimes in the nighttime due to severe mitral regurgitation.Given his advanced age and comorbidities such as diabetes, and chronic renal failure, open-heart surgery was not a viable option. Patient came for consultation with Dr Anup Mahajani (Interventional Cardiologist and Valve Expert) For a life-saving minimally invasive MitraClip procedure to ease his symptoms and give him a second lease of life.
Dr Anup Mahajani said, “On arrival in an emergency, a week ago, he received multiple shocks due to ventricular tachycardia storm. The CTRD did its job by saving his life during VT storm This patient presented a unique challenge due to his advanced age and multiple comorbidities, making traditional surgery extremely risky. He underwent a 3D TEE (Trans Esophgeal Echocardiography) by Dr Anup Mahajani to confirm whether he is suitable for the Mitra clip procedure. 3D TEE is a wonderful technology to assess the valve issues, available at medicover hospital. The MitraClip procedure was the ideal solution, offering a minimally invasive approach with excellent outcomes. Mitra clip helps closing (clipping)the valve which leaks due to disease (Severe MR). The procedure lasted for 1 and a half hour unlike open heart surgery which lasts for couple of hours. The patient got discharged the very next day. It is incredibly rewarding to see this patient now breathing easier and enjoying a better quality of life. Not treating the patient at the right time could have led to death."
“The MitraClip is a revolutionary device that allows us to repair the mitral valve without open-heart surgery. Using a catheter, the clip is guided to the heart and carefully placed to reduce regurgitation. The device is used to treat mitral regurgitation (MR), a condition where the mitral valve does not close properly, allowing blood to leak backward into the left atrium. This device provides an alternative to open-heart surgery, particularly for patients who are high-risk surgical candidates due to age, and comorbidities, reduces hospitalizations, and improves overall health outcomes. It is minimally invasive compared to open-heart surgery, has a shorter recovery time, effective in reducing symptoms like fatigue, shortness of breath, and heart failure. When it comes to post-operative care after the procedure, the patients are monitored for complications and improvement in symptoms, discharged within a few days, and require follow-up visits. This procedure is used in patients who are not candidates for surgical valve repair or replacement. Patient can be discharged the next day of procedure and significant reduction of number of medicines he has to take. As the result of the procedure is immediate, and the live Echocardiography shows decrease in severity of MT during procedure itself," underscored Dr Anup Mahajani.
‘I have been living with breathlessness and fatigue, struggling with even the simplest tasks. I never thought I would feel normal or be able to enjoy life again. However, due to the limitless efforts, expertise, and compassionate care provided by Dr Anup Mahajani, and their dedicated team, my life has completely turned around. I can now take walks, spend quality time with my family, and become independent. I feel joyous to be able to move freely now. This procedure has truly given me a second chance at life, and I will forever be grateful for the team that made it possible,” concluded the patient Mr Shivaji Sanglikar.
