Aortic Stenosis Treatment in India
Aortic stenosis treatment in India is conducted at a majority of super speciality and multi-super speciality hospitals. In addition, there are several cardiology hospitals in the country that are fully equipped with all the latest technologies, techniques and equipment used to treat heart patients.
Aortic valve stenosis is a medical condition characterised by narrowing of the aortic valve in the heart. The narrowing ends up preventing the complete opening of the valve and thus, also prevents the flow of blood from the heart to the aorta, the main artery that supplies purified blood to the rest of the organs and tissues in the body.
Because of an obstruction in the flow of blood through the aorta, the heart has to pump much harder and forcefully to make sure that the body parts are supplied with oxygenated blood. As a result, the muscles of the heart start to wear out gradually and weaken, which may ultimately lead to a number of fatal cardiovascular events.
Each of the best cardiology hospitals in India is equipped with fully-functional catheterization lab units. In addition, there are separate and specially-designed intensive care units (ICUs) and critical care units (CCUs) for patients suffering from cardiac disorders.
Treatment for aortic stenosis in India usually involves a surgery, which can be of different types, depending on the need of the patients and reasons for their condition. Aortic valve replacement and balloon or surgical valvuloplasty are two such treatment option. In some patients, the condition is managed with the help of medications.
The best hospitals for aortic stenosis treatment in India are located across the length and breadth of the country. All major cities such as Mumbai, Goa, Delhi, Hyderabad, Chennai, Bangalore, and Gurgaon possess state-of-the-art hospitals that are well-known across the world for their quality of medical treatment.
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Aortic Stenosis Treatment Cost in India
Aortic stenosis treatment in India can be availed at a highly affordable cost, especially in comparison to other medically advanced countries across the globe. The low cost of aortic stenosis treatment in India is one of the major reasons why patients with aortic valve narrowing prefer to come to India to seek treatment.
The cost can depend on several factors:
- Treatment procedure
- Technology used
- Pre- and after care
- Services included
The cost of aortic stenosis treatment in India remains low, despite the fact that the best hospitals for aortic stenosis treatment in India offer the highest quality of treatment to all of the patients travelling from within the country or abroad.
The total cost of aortic stenosis treatment in India depends on a number of factors, including the duration of hospital stay, the city, the hospital chosen, doctor’s fees, anesthesia cost, the requirement for any additional medical procedures and medical tests.
One of the major determinants of the cost is the type of procedure that the doctor decides to conduct to correct aortic stenosis, which, in turn, depends on the extent of damage suffered by the patient.
Aortic valve replacement, balloon valvuloplasty, transcatheter aortic valve replacement (TAVR), and surgical valvuloplasty are some of the common surgical procedures used for the treatment of aortic stenosis in India. In some cases, the condition is also managed with the help of medications.The cost of all these procedures is much less in India, as compared to the US, UK, UAE, Mexico, Canada, Russia and Singapore. Average cost of aortic stenosis treatment in India and the US is given below:
Note: The treatment costs vary from case to case and a specialist review is advised to determine the best procedure/approach for treatment. Several external factors also impact the cost & quality of treatment including the type of anesthesia or sedation used, room category, method of treatment, and several other factors. Please contact Lyfboat Care Team for a personalised quote and advise.
Aortic Stenosis Treatment Hospitals in India
Aortic valve stenosis is a serious condition. If left untreated, it may lead to life-threatening events and ultimately cause the death of the patient. This is the reason why it is important to rush to a hospital to get aortic stenosis diagnosed and then treated accordingly.
The best aortic stenosis treatment hospitals in India are equipped with all the modern facilities used for the treatment of patients suffering from minor to major stenosis. In addition, these hospitals have full-fledged backup plans to handle any kind of medical emergencies during the surgery or immediately after it.
A majority of aortic stenosis treatment hospitals in India have well-organized and fully-functional ICUs and CCUs, where the patients are immediately transferred after a major cardiac surgery. These units are taken care of by a highly experienced team of specialists, who are trained in looking after patients who require critical care.
The best aortic stenosis treatment hospitals in India have teamed up with some of the best cardiologists in India to deliver high-quality treatment to cardiac people from within India and abroad. Each year, hundreds of people travel thousands of miles to seek good quality and affordable medical treatment in India.
These hospitals now offer attractive aortic stenosis treatment packages to the foreign patients. These packages, apart from the cost of treatment, includes the cost of boarding, lodging, the initial screen, food, miscellaneous medical tests and follow-up visits.
Best Aortic Stenosis Hospitals
Some of the best hospitals for Aortic Stenosis include the following:
Symptoms of Aortic Stenosis
A patient may suffer from mild to severe aortic stenosis, and the symptoms of the condition vary according to the extent of narrowing of the aortic valve. Patients suffering from severe narrowing of the aortic valve are more likely to suffer from the following symptoms:
- Shortness of breath
- Heart murmur and palpitations
- Angina (pain) or tightness in the chest
- Feeling that he or she may fain or actual fainting
Heart failure may occur in people whose heart muscles have weakened over a period of time because of forceful pumping of the blood. It is usually hard to recognise any of the aortic stenosis symptoms at first because they appear gradually and are common. Children and infants with this form of stenosis may experience chest pain and may get tire easily.
The condition is most often diagnosed by a doctor during a routine visit. The condition may pave way for an abnormal heart sound or murmur, which is detected by the doctor through a stethoscope.
What causes aortic stenosis?
The narrowing of the passage between the heart and the aorta may result because of a variety of reasons. Some of the common causes of aortic stenosis include the following:
- Calcium deposits: Aortic valve calcification or deposition of calcium on the aortic valve may affect an individual as he or she ages. The deposition of calcium on the valve’s cusps may not create any problem at all. However, in some people with a congenitally abnormal valve, it may harden up the cusp. As a result, narrowing appears. The calcium deposition experiences as such are not linked to the intake of calcium supplements or other calcium fortified drinks.
- Congenital heart defect: A normal aortic valve has three cusps or triangular flaps that tightly fit into each other. However, some people are born with a defect of the cusps and may have only one, two or as many as four cups in the valve. This may not lead to any problem in children, but in adulthood, this may lead to narrowing or leakage, warranting a need for a corrective surgery.
- Rheumatic fever: Scar tissue formation on the aortic valve during rheumatic fever may lead to its narrowing. It may end up creating an exposed, rough surface on the aortic valve, which is predisposed to calcium deposition and further narrowing.
Aortic Valve Stenosis Risk Factors
Old age, a previous history of rheumatic fever, the presence of chronic kidney disease and deformation in the aortic valve are some of the known risk factors for aortic valve stenosis. Other risk factors include hypertension, type 2 diabetes, and high cholesterol levels.
Aortic Valve Stenosis Diagnosis
Adults and children who are suspected of a deformation or a fault in the aortic valve are required to undergo several diagnostics tests to confirm the condition. Some of these common tests include the following:
- Chest X-ray
- CT scan
- MRI scan
- Other exercise tests
Another procedure called cardiac catheterization is also used to diagnose the condition. It is a surgical procedure in which a thin tube called catheter is inserted through an artery in the vein or groin and then guided up to the heart.
Mostly, a due is injected through the catheter to see the route of the blood through the arteries and check for any blockages, in addition to aortic valve stenosis.
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Aortic Valve Stenosis Treatment
Aortic valve stenosis cannot be treated with the help of medications. However, doctors may still prescribe a few medications to ease the symptoms associated with the condition, slow the heart rate, prevent fluid accumulation and to control the rhythm of the heart. In some cases, blood lowering medications are given to slow down the aortic stenosis development.
As soon as the condition is diagnosed, it is not necessary that the doctor will suggest a surgery up front. A surgery is mostly delayed in cases the patients suffer from mild to moderate aortic stenosis and experience no symptoms at all.
But such patients are required to go for regular follow-up visits to check on the development of aortic stenosis and the doctor can accordingly check the right time for the surgery. Several diagnostic tests may be conducted at the follow-up visit to the doctor, such as an echocardiogram to view the aortic valve.
A surgery is almost inevitable in case the narrowing has become severe and the patient has started to show symptoms of aortic stenosis. The following are some of the surgical procedures conducted on patients with severe aortic valve stenosis:
Valvuloplasty: This invasive surgical procedure helps open up the aortic valve to improve the flow of blood. In addition, it also helps relieve the symptoms associated with the condition. This procedure is of two types – surgical valvuloplasty and balloon valvuloplasty.
The latter is a more specialised procedure in which a soft catheter tipped with a balloon is made to enter the artery in the groin area and reach the site of the narrowed aortic valve in the heart. Once the catheter tip reached the site, the balloon is inflated.
The inflated balloon ends up stretching the valve and opening it up. As a result, the blood flow is improved. Once the valve is open, the balloon is deflated and made to exit the body along with the catheter.
Balloon valvuloplasty is a less common procedure which is only conducted in patients who are too sick or not fit to undergo valve replacement. The traditional approach of surgical valvuloplasty, on the other hand, is more effective and common in the treatment of aortic valve stenosis. This procedure is mostly conducted on infants and children with the help of traditional surgical tools.
Aortic Valve Replacement: This is the primary treatment for aortic valve narrowing. During this procedure, the narrowed valve is removed from the heart of the patient and replaced with a healthy, mechanical or biological valve.
The mechanical valve is made up of metal and is more durable than the biological valve, which is made up of tissue retrieved from a diseased pig, human or cow. But there is a risk of blood clotting in case of a mechanical valve. This procedure is performed in the traditional open-heart way.
Transcatheter aortic valve replacement (TAVR): This is a type of aortic valve replacement, which is less invasive. It involves the replacement of aortic valve with a prosthetic valve through the femoral artery in the leg or left ventricular apex of the heart.
During the procedure, a catheter with a balloon in inserted through the artery in the leg. The balloon has the prosthetic valve around it. When it reaches the site, the balloon in inflated. It ends up pushing the aortic valve and expanding the folded prosthetic valve into it. The balloon is then deflated and removed from the body through the catheter.
TAVR procedure is most commonly conducted in patients with severe aortic valve stenosis and those who cannot undergo an open surgery. But there is an increased risk of severe cardiovascular complications such as stroke after TAVR surgery.