Breakthrough TAVI Procedure for Bicuspid Valve at Durdans Heart Centre | Daily News

Breakthrough TAVI Procedure for Bicuspid Valve at Durdans Heart Centre

Durdans Heart Centre recently concluded a breakthrough minimally invasive TranscatheterArterial Valve Implantation (TAVI) on a patient with bicuspid valve.

Bicuspid valves, a birth anomaly (two leaflets instead of the normal three), quickly leads to narrowing of the valve. The valve replacement was performed using a self-expanding Medtronic Evolut™ R self-expanding trans-catheter aortic heart valve. This is the first case in Sri Lanka where a bicuspid valve has been treated using a transcatheter aortic valve.

At the time of the procedure the patient Robin Sathasiwam’s heart function was low after the heart attack and the aortic valve was severely malfunctioning with weakened electrical conduction of the heart. Waiting any longer without intervention would mean open heart surgery for which he would be a high risk candidate.

After comprehensive analysis by Dr Pandula Athaudaarachchi on May 14, 2019, the procedure was undertaken by him in the state of the art catheterisation laboratory at Durdans Hospital.

Patient was awake with only local anaesthesia (LA). The equipment was navigated to the heart, the abnormal valve stretched open with a balloon and the artificial valve placed above the level of the valve to control the blood flow from the body.

The procedure lasted no more than 90 minutes. No complications were experienced and the functioning of the valve was excellent. The patient was able to walk 24 hours later and was discharged from the hospital three days later.

In the same session, Dr Athaudaarachchi implanted a balloon expandable aortic valve (different type) under local anesthetic on an 80 year old with multiple medical conditions seeing complete success. The first minimally invasive procedure in our hospital was performed by the same cardiologist back in September 2018 making Durdans Hospital the first cardiac unit in the country to have implanted two different types of percutaneous aortic valves under local anesthetic with complete success and no complications.


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