Amid the current COVID-19 crisis, 60-year-old businessman Shailesh Kanani from Mumbai was successfully and safely operated after heart experts at the Asian Heart Institute performed a valve replacement surgery to fix his severely narrowed heart valve and treat the abnormal enlargement that had developed in his aorta- the largest artery in the body. Kanani who was diagnosed with a narrowing of his heart valve in 2006, suddenly started experiencing difficulty in breathing in March 2020 and was rushed to the Asian Heart Institute. While talking about Kanani’s heart condition, Dr Ramakanta Panda, chief cardiovascular thoracic surgeon and vice chairman, Asian Heart Institute, shared, “As the patient developed symptoms, he immediately consulted me. On reviewing him with a new echocardiogram, it was observed that his valve narrowing had progressed to a very critical level.”
Why Was He Suggested A Surgery?
Kanani’s aortic valve was filled with calcium deposits, as a result of which his heart was not able to pump enough blood. He was advised to undergo a valve replacement procedure, either by surgery or without surgery by way of a minimally invasive procedure called Transcatheter Aortic Valve Replacement (TAVR). Asian Heart Institute has emerged as one of the leading hospitals for successfully conducting TAVR procedures.
Owing to the best safety record of Dr Panda in valve surgery, Kanani opted for valve replacement by surgery. Dr Panda has successfully performed numerous aortic valve replacements over the years. Even though the risk of valve surgery in Dr Panda’s hand is less than 1 per cent, research has shown that if the patient can catch COVID-19 during the peri-operative time, it can lead to disastrous results. To ensure maximum safety to the patient, on admission, he was kept in isolation until the COVID test result came negative, said doctors.
Some insights from the surgery:
- It was a 9-hour complex procedure
- On 18th July 2020 in a nine-hour long surgery, Dr Panda and his team carefully removed the calcium deposits from Kanani’s severely narrowed aortic valve, and a 25mm size tissue valve was inserted in his heart.
- “This larger size valve will ensure a long-lasting of the artificial valve as smaller sizes, which he would have received elsewhere, would have risked the valve to fail early,” shared Dr Panda.
- While conducting the operation, he was also found to have an enlargement in his main blood pipe (aorta) which was brought back to normal size by removing part of the dilated portion of the aorta. “Without this additional surgery, the patient would have come back within the next 3-4 years for another major surgery” Dr Panda added.
- The patient had absolutely no complications in the post-operative period and was soon discharged.
The patient is now safe and is slowly on the road to recovery. But what should one do after undergoing such complicated heart surgeries? There are certain tips that one must follow to recover fast and well from valve replacement surgery. Some postoperative care tips after a heart surgery listed below:
- Follow the doctor’s direction in regards to what to do, how to eat, not to light heavyweights, etc
- Eat healthy, avoid eating heavy and fried food
- Exercise daily for 30 minutes at least. Avoid doing fast or heavy exercises as it might make you tired faster or even lead to fainting.
- Take help from people when it comes to lifting heavy objects
- Sleep as much as possible, rest and do not take stress.
- Know that the recovery process might be slow and painful too. Hence, do not forget to discuss the same with your doctor for some moral support.
Read more articles on Heart Health