MANGALURU –Indiana Hospital and Heart Institute, Mangaluru crossed yet another milestone recently. Its team of cardiologists,  under the able hands of Dr. Yusuf Kumble, performed Transcathether Aortic Valve Implantation (TAVI) on a high-risk elderly patient with bicuspid aortic valve (BAV) and co-morbidities treating him for aortic stenosis. Aortic valve stenosis is a serious disease which can shorten the life span or even cause death in the elderly. This was in fact, more challenging and complex than other cases, as in this case, the patient had a bicuspid aortic valve and co-morbidities. A bicuspid aortic valve (BAV) is an aortic valve that has only two leaflets instead of three as is in a normal case. The patient, after the successful procedure, is now hale and hearty; he was discharged after three days of hospitalisation. It may be recalled that Coastal and Malnad region’s first TAVI  was performed by Dr. Yusuf Kumble at Indiana Hospital about a year ago successfully.

Says Dr. Yusuf Kumble, who has performed innumerable complex coronary procedures, “In this procedure, you can replace the valve without opening the heart under local anaesthesia. It is similar to an angioplasty done to remove a block. We did the procedure using an Indian valve.” 

In TAVI, a thin, flexible tube (catheter) housing the collapsed valve is inserted most commonly through an artery in the leg (transfemoral approach) and delivered to the heart. Similar to coronary artery stenting methods, this procedure is performed in a cardiac cath lab.