SurgeryPlanet�is the most popular and trusted Global Medical Tourism Facilitator in the world. We facilitate medical treatment for international and domestic patients in our accredited, high quality network hospitals, in over 30 countries and over 120 destinations across the world. Our network of over 1000 hospitals offer high quality, low cost procedures and the typical cost savings are in the order of 70 % to 80%. Many of our partner hospitals are�JCI accredited,�National Medical Board accredited�and�ISO Certified Centers�of excellence, with International healthcare standards.�Call�1800 780 8460 �or email us for more information:��info@surgeryplanet.com

Valve replacement�or repair is recommended when you have symptoms of heart failure, or when your ejection fraction is lower to over 60%. The decision between repairing and replacing the valve depends on the type of damage to the Mitral valve. Repair is more successful if there is limited damage to certain areas of the mitral valve flaps (leaflets) or to the tough fibers that control movement of the Mitral valve leaflets (chordae tendineae). Replacement, however, is usually preferred for people who have a hard, calcified Mitral valve ring (annulus) or widespread damage to the valve and surrounding tissue.

The following steps are done during repair;

• Reshape the valve by removing excess valve tissue
• Add support to the valve ring by adding tissue or a collarlike structure around the base of the valve
• Attach the valve to nearby cord like heart tissues (chordal transposition)

Valvuloplasty

Valvuloplasty is a technique aimed at making sure the flaps of the valves (or leaflets) close properly, preventing blood from backing up into the atrium. In the healthy heart, blood flows from the upper chamber (atrium) to the lower chamber (ventricle) and from the ventricle to the body.

Commissurotomy�is a special form of Valvuloplasty. Commissurotomy is used when the leaflets of the valve become stiff and actually fuse together at the base, which is the ring portion (or annulus) of the valve. Sometimes a scalpel is used to cut the fused leaflets (commissures) near the ring, which may help them open and close better. In other cases, a balloon catheter, similar to a catheter used during angioplasty, is inserted into the valve. The balloon is inflated, splitting the commissures and freeing the leaflets to open and shut fully. Unlike other Valvuloplasty procedures, this procedure can be done in the cardiac catheterization lab, and the chest does not have to be opened.

Annuloplasty

Annuloplasty is a technique aimed at repairing the fibrous tissue at the base of the heart valve (the annulus). Sometimes, the annulus becomes enlarged, which enables blood to back up into the atrium. To repair this, sutures are sewn around the ring to make the opening smaller. This creates a purse string effect around the base of the valve and helps the leaflets meet again when the valve closes.

Sometimes when repairing the annulus, it is necessary to implant an�annuloplasty ring. A ring is used to correct a problem, provide support for the valve, and reinforce other repair techniques or any combination of these.

Infection, bleeding, stroke and heart attack are some of the risks and complications following a valve repair.

General anesthesia�is used for this procedure. An incision is done at the center of the chest,�separating the breastbone. The heart is then connected to the heart-lung machine to take over the job of the heart and the lungs. The right atrium is accessed with a special tube that will carry blood from the body to the machine, which oxygenates the blood. The machine then pumps the oxygenated blood through another tube that has been placed into the aorta to circulate the blood back through the body. The term bypass is often used to describe this method of bypassing the heart and lungs.

Once the repair is made, the heart-lung machine is withdrawn; and the heart is started again to circulate blood through the lungs and body. The breastbone is rejoined with wires and the incision closed.

This is the conventional open-chest procedure for valve replacement or repair surgery. Recent technology has allowed surgeons to perform valve replacement or repair with less invasive techniques.

The other major cardiac procedures are:

1. CABG
   
2. Heart Transplantation
   
3. VSD (Ventricular Septal Defect Closures) Closures�.. etc

Few Major Hospitals for Heart Valve Repair are:

• Apollo Hospitals
  
• Narayana Hrudayalaya�
  
• Asian Heart Institute and research center
  
• Piyavate Hospital
  
• Florence Nightingale Hospital
  

Thailand,�Malaysia, Singapore, Turkey�and�India�are the most cost effective locations that offer up to almost 80% savings in comparison to the US.

SurgeryPlanet�facilitates a plethora of services to the medical treatment traveler also which includes, a hassle free and discounted travel option, a welcome hand at the airport on arrival, travel in an air-conditioned car, round the clock service & support. Your medical evaluation is pre arranged with the least of waiting time. Once your assessment is complete and found medically fit, the procedure is immediately scheduled without a waiting period. Please read thru our Services and Testimonials to understand and select your best options.

• Thailand
• Malaysia
• Singapore
• Turkey
• India�