Does Not Include
Mitral Valve Replacement cost in India starts from US $ 6,500 and varies depending on your medical condition and history, comorbidities – if you have any, surgeon, hospital and the city where you choose to get the surgery done.
Factors that affect Mitral Valve Replacement cost in India:
Type of Valve
The 2 different types of valves that are used for valve replacement are- tissue and mechanical valves. The type of valve chosen depends on the patient’s age, medical history and other factors. While it does not make a phenomenal difference, the type of valve chosen does affect mitral valve replacement cost in India.
Heart Surgeon’s Fees
An important expense when it comes to your Mitral Valve Replacement in India procedure is going to be your cardiac surgeon’s fees. IndiCure recommends only experienced, skilled, board-certified surgeons who are capable of delivering successful heart surgeries. Although the charges may vary depending on the experience of the surgeon, you can be completely assured of being in safe and experienced hands when you choose heart surgery in India with IndiCure.
Type of Surgical Approach
With the hopes of improving patient care, new techniques and technologies are often introduced to the surgical process. Such innovative advancements in the surgical approach can increase costs.
Having your Mitral Valve Replacement procedure in an accredited surgical facility by skilled and qualified medical staff is a critical factor. Moreover, the geographical location of this facility also affects the initial quote. But, IndiCure provides you with a projected estimate that will be affordable.
The surgery-related expenses include the pre- and post-surgical expenses. The pre-surgical expenses are associated with the age and medical condition of the patient and thus the number and type of investigations required. Post-surgical expenses may include prescription medications and follow-up consultations.
The cost quoted above is indicative and should not be taken as the final cost of the surgery. The final cost can be ascertained after the surgeon has evaluated the patient. The cost in Indian Rupees can vary based on exchange rate.
We at IndiCure, understand that you travel with a budget in mind and do not like to be greeted by surprises after arrival in India. We thus club all these expenses and give you the package cost that is inclusive and affordable at the same time.
Your case manager shall give you an estimated cost of your surgery after discussing your medical reports with the surgeon. The final cost, however, shall be confirmed after your consultation with the surgeon.
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In fact, we have Special Negotiated Rates with the Hospitals and you can avail Discounted Rates when you choose to Travel with IndiCure.
How It Works
What is Mitral Valve Replacement?
Mitral valve replacement is a surgery in which a patient’s heart’s diseased mitral valve is replaced with a mechanical or tissue (bioprosthetic) valve.
Most common reasons for the change of Mitral valve are:
Mitral valve regurgitation- Mitral valve regurgitation is a condition in which the heart’s mitral valve doesn’t close tightly, which allows blood to flow backward in the heart.
Mitral valve stenosis- It is a medical condition in which the mitral valve flaps thicken and stiffen, and they may fuse together. As a result, the valve aperture narrows and blood flow from the left atrium to the left ventricle is restricted.
Symptoms of mitral valve disease may not appear for several years in some patients. The following are some of the signs and symptoms of mitral valve disease:
- A stethoscope recording of an abnormal heart sound (heart murmur).
- Shortness of breath, especially after a vigorous workout or when lying down
- Irregular heartbeat
There can be several reasons for mitral valve disease, some which may include birth defect, infection, calcification and inherited collagen disease.
Even if you don’t have symptoms, your doctor may recommend mitral valve surgery or replacement to avoid complications and improve outcomes. If you need surgery for another heart problem, your doctor may decide to repair or replace the defective mitral valve as well.
Current mitral valve replacement approaches include open heart surgery and minimally invasive cardiac surgery (MICS).
There are two main types of artificial mitral valve:
- Mechanical valves
- Tissue (bioprosthetic) valves
Advantages of mitral valve repair over replacement include lower surgical mortality, lower rates of stroke and endocarditis (an infection of the heart’s inner lining), equivalent or better long‑term durability, and improved long-term survival.
When is Mitral Valve Replacement required?
Mitral Valve Repair
Whenever possible, mitral valve repair is advised since it preserves your heart valve. Surgical repair of a mitral valve may include patching holes in the valve, reconnecting valve flaps (leaflets), separating fused valve leaflets, replacing the valve’s support cords, or removing extra valve tissue so that the leaflets can close firmly. Surgeons frequently use an artificial ring to tighten or reinforce the ring around a valve (annulus).
Mitral Valve Replacement
Surgeons may replace your mitral valve if it cannot be repaired. Your surgeon will remove the damaged valve and replace it with a mechanical valve or a valve manufactured from cow or pig heart tissue during mitral valve replacement (biological tissue valve).
Biological tissue valves deteriorate over time and will need to be replaced. A catheter operation can be used to put a new valve in a biological tissue replacement valve that has failed. To avoid blood clots, people with mechanical valves will need to take blood-thinning drugs for the rest of their lives.
How is Mitral Valve Replacement done?
Valve repair/ replacement surgery is done under general anesthesia and takes about four to five hours. There are different approaches to valve repair/replacement surgery. These are:
Open Heart Surgery: This involves a cut in the chest to access the heart.
Minimally Invasive Heart Surgery: Smaller incisions in the chest are used in this procedure. Compared to open-heart surgery, minimally invasive heart surgery results in a shorter hospital stay, faster recovery, and less pain.
Robot assisted Heart Surgery: A sort of minimally invasive surgery in which the surgeon observes the heart on a video monitor from a remote location. Robotic arms are utilized by the surgeon to conduct the same maneuvers as open-heart operations. As a surgery alternative, robotic mitral valve replacement is becoming more popular.
Transcatheter procedure: A cardiologist performs the transcatheter operation in the catheterization lab. A catheter is inserted into a vein and guided to the heart in this type of treatment. The catheter could be used to send tools to the valve to repair or replace it.
Open Heart Mitral Valve Replacement
After the incision and separation of the breastbone and ribs, the surgeon opens the heart and traces the faulty valve.
The edges around the valve are slightly sliced to help loosen it from the tendons that connect it to the rest of the heart and then the valve can be removed.
The new valve is then inserted and attached into place. After the surgery is done, the patient is taken off the bypass machine and the chest is closed.
What is the Recovery after Mitral Valve Replacement like?
You’ll typically spend a day or more in the intensive care unit (ICU) after having mitral valve repair or replacement surgery. You’ll be shifted to a regular hospital room for a few days after leaving the ICU. Depending on your condition and the type of surgery you have, the amount of time you stay in the ICU and hospital can vary.
You will need to stay in the hospital at least overnight after a transcatheter procedure, although you may not need to stay in the ICU. There are no tubes needed to drain fluid or blood from your chest with this method.
Your doctors and nurses will keep an eye on your progress. Your blood pressure, respiration, and heart rate will be monitored often. Your doctor will also work with you to manage any post-surgery pain.
As you heal, you’ll be told to gradually increase your activities and undertake breathing exercises. During your stay in the hospital, your nurses will assist you in taking longer and longer walks. You will be able to resume your routine work and activities in about 4 weeks, but rigorous work will have to wait for 8-10 weeks and can be undertaken after the surgeon’s advice.
What Results Can I Expect from Mitral Valve Replacement?
Mitral valve repair and replacement surgery can help you live a better life by reducing symptoms and improving your quality of life.
You’ll need to see your doctor on a frequent basis to ensure that the new or repaired valve is functioning properly.
To avoid blood clots, you’ll need to take blood thinners for the rest of your life if your mitral valve was replaced with a mechanical valve. Biological tissue valves degenerate (break down) over time and must be replaced.
Cardiac rehabilitation, a programme of education and exercise designed to help you improve your health and recuperate after heart surgery, may also be recommended by your doctor. Before and after mitral valve surgery, maintaining a healthy lifestyle is critical to your heart’s health. A healthy way of life involves the following:
- Smoking cessation
- Exercise on a regular basis
- Eating a well-balanced diet
- Stress management
Questions to Ask
We at IndiCure completely understand your concerns and it is always our endeavor to provide the best outcome for every patient. Following is the list of questions you must ask before you embark on your journey for Mitral Valve Replacement in India.
- Is the heart surgeon board certified?
- How experienced is the Surgeon?
- Which language does the surgeon speak?
- Is the treatment done in a well-equipped facility?
- What treatment option is recommended for me?
- What about the risks involved?
- Does the surgeon use a certified anesthetist?
- How long will the recovery period be?
Preparation for the Surgery
Prepare to answer questions about your:
- Medical history and exams
- Previous surgeries
- Current medication review
- History of smoking, drugs, or alcohol
Best Cardiac Surgeons in India
Dr. Ashok Seth
Dr. Ashok Seth is one of India’s most renowned and sought-after interventional cardiologists, and is regarded as one of the country’s top 10 cardiologists. He has over 32 years of expertise and is known for doing over 50,000 angiograms and 20,000 angioplasties. For executing one of the biggest numbers of angiographies and angioplasties in the world, he was inducted into the “LIMCA” Book of Records.
Dr. T. S. Kler
and Lifetime Achievement Award 2006
Dr. T.S. Kler is the Executive Director of Cardiac Sciences at Fortis Memorial Research Institute in Gurgaon, as well as the Head of the Cardiology Department. He was the first doctor in India to implant an implanted cardioverter defibrillator in April 1995. (ICD). He also built India’s first electrophysiology department.
Dr. (Col.) Manjinder Singh Sandhu
He is an interventional cardiologist with an impressive 16 years of post-DM expertise and has conducted over 20,000 procedures. His work focuses on difficult coronary treatments such as Primary Cardiac Catheterization (with thrombosuction devices, IABP, and other techniques), Bifurcation lesions, Chronic complete occlusions, and Left Main lesions. Cutting balloons, angiosculpt, IVUS, Rotablation, and other supplementary devices are among his specialties.
Best Heart Hospitals in India
Indraprastha Apollo Hospital
Indraprastha Apollo Hospitals, New Delhi is a state of the art multi speciality tertiary-care hospital situated in the most posh area of South Delhi. Considered to be the flagship hospital of Apollo group, Indraprastha Apollo Hospital is one of the important landmarks not only in Delhi, but in the world map because of its popularity among the medical tourists. The hospital has been one of the most sought after medical institutions for patients from Asia Pacific and beyond.
Fortis Escorts Heart Institute
Fortis Escorts Heart Institute and Research Centre is one of the most revered medical institutions not only in India, but the entire world. The institute has set benchmarks in cardiac care with path-breaking work over the last 25 plus years. The hospital has the most advanced technology and has seen the best outcomes even in the most complex cardiac cases; be it cardiac surgery, Interventional Cardiology, Pediatric Cardiology, Pediatric Cardiac Surgery or Non-invasive Cardiology
My dad was advised cardiac bypass surgery in CA, USA, but because of being uninsured, such high costs of cardiac surgery in the US, we were really not able to afford it. IndiCure has actually helped in saving my dad’s life and we are really grateful for the same.
I am falling short of words, to express my gratitude to the surgeon who was very helpful and courteous.
Will recommend IndiCure to everyone!
Procedure : CABG surgery
My son 4 years old was born with a heart defect which the doctors said needed a highly specialized surgery. Our cardiologist highly spoke of Indian surgeons and suggested us to go to India and in hindsight now I realize how right he was!
My son was successfully operated and I must thank Indicure for the excellent arrangements they made.
Procedure : ToF surgery
I would like to thank IndiCure for all they have done for my mother and me. Without IndiCure our stay would have been very difficult. They made our journey to India very pleasant and were always very attentive to our needs.
I would recommend IndiCure to anybody wanting to come to India for medical treatment.
Procedure : Mitral Valve Replacement
Thank you so much IndiCure for getting my baby free from the hole in her heart. We are looking forward to see her play and grow normally like other children.
Really appreciate the care and help we received from Dr Ruchika and entire team of IndiCure.
Procedure : ASD Surgery
Frequently Asked Questions
At 5 years, the survival of patients who underwent mitral valve repair was 82%, those who underwent valve replacement was 72%.
Your heart function and life will most likely return to normal after you have an artificial valve implanted. If you had symptoms prior to surgery, you should feel far better now than you did before. Shortness of breath and weariness, for example, should no longer be an issue.
Researchers revealed that five years after being diagnosed with a minor valve leak, lots of patients were still alive. Those who have a serious leak that goes untreated, on the other hand, have a far lower chance of living, with just about 60% surviving after five years. As a result, the severity of valve leak is important to determine how long one can survive with a bad valve.
You can check the list of best heart surgeons in India
With the advancement in technology and the experience of cardiac surgeons, mitral valve replacement is a fairly safe procedure. The surgical risk for asymptomatic patients having mitral valve surgery is about 1 in 1000. In symptomatic patients, the risk is still far below 1%. Your particular risk is influenced by the presence of coronary artery disease or other illnesses that necessitate surgical treatment.
Though few and far, the risks of an open mitral valve replacement are as follows:
- Irregular heart rhythms
- Blood clots leading to stroke or heart attack
- Complications from anesthesia
- Continued leaking of the valve
- Damage to nearby organs
- Memory loss or problems with concentration
Technically speaking, heart valve repair is better than replacement, and cardiac surgeons do advise valve repair as far as possible.. But not everyone can be a candidate for valve repair. Valves that cannot be repaired have to be replaced with a mechanical or tissue valve. Replacing it may cause your heart function to deteriorate. A repair not only allows you to preserve your own valve, but it also increases survival chances and reduces the danger of bleeding.
Mitral valve repair surgery has a success rate of around 95% with adequate patient selection and timely intervention. Nearly 95 percent of patients are free of reoperation for 10 years after the surgery. Around 90% of persons do not require reoperation for mitral valve replacement after 20 years.