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Aortic root replacement with valve-sparing is a highly specialised procedure that fixes the part of the aorta closest to the heart (the aortic root) while leaving the patient's natural aortic valve intact. Aortic root disorders occur and are found commonly in those people who have High Blood Pressure issues.
Why is the procedure performed?
In the aortic root, the aortic valve divides the heart from the rest of the ascending aorta. The aorta may enlarge due to thoracic aortic aneurysms at the aortic root, which may lead to leaks in the aortic valve and an increased risk of aortic dissection in the patient. This procedure is required when the aortic root is swollen or has an aneurysm. The more significant part is cut out and replaced with a "transplant," a man-made (synthetic) tube, by the surgeon. Manipal Hospitals is providing Valve Sparing Root Replacement In Yeshwanthpur, Bangalore
Benefits of the procedure
Aortic root replacement without the need for an artificial valve eliminates potentially fatal complications like aortic dissection or rupture. As the valve may endure the remainder of the life of the patient, this procedure is suitable for young, active people.
Procedure
The patient's aortic valve is used once during the procedure and then put aside by making an incision in your chest and placing a heart bypass machine, which takes over the function of the heart and lungs during surgery.
A clamp is placed over the aorta once the heart is cooled and halted. Just above where the coronary arteries begin, the aorta is transected (split). The tiny tissue buttons that make up the coronary ostia (openings) are eliminated. Except for the valve tissue, the remaining ascending aorta is excised.
The valve and the dilated portion of the aorta are initially removed by the surgeon. The patient's natural aortic valve is then preserved by the surgeon, who uses specialised stitches to sew it into the synthetic graft. Additionally, the coronary arteries are reattached.
Under the valve, sutures are used that are passed outside of the aortic annulus. The prepared sutures are used to secure the chosen vascular graft to the heart.
The valve is then carefully positioned within the graft to prevent leaking. The valve leaflets are then subjected to a significant amount of specialised tailoring to make sure they open and close correctly. With the use of a continuous suture procedure, the valve tissue is entirely joined to the transplant. The graft has two tiny holes drilled into it so that the coronary arteries can be reattached.
After procedure
Similar to other open heart operations, recovery is similar after the procedure. Patients who have scheduled elective surgery and are otherwise healthy experience a speedy recovery. The graft is exceptionally strong and doesn't need any more medications. We do advise scheduling frequent appointments with your doctor to check on the health of the aortic valve and the rest of the aorta. Book an appointment to know more.
Your hospital stay following an aortic root replacement with valve preservation could last up to a week. Your healthcare practitioner will provide you with aftercare guidelines like,
For at least a day after surgery, only consume liquids.
One or two days following surgery, you can start walking.
One to three weeks following the procedure, any surgical staples or stitches will be removed.
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