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Heart Valve Clinic at P.D. Hinduja Hospital

Heart Valve Clinic at P.D. Hinduja Hospital

The Heart Valve Clinic is a unique initiative by P.D. Hinduja National Hospital, the very first of its kind in our country, to offer comprehensive diagnosis and treatment for all heart valve related issues. The clinic has been conceptualized by leading cardio-thoracic surgeons and cardiologists of this hospital, who have a combined experience of more than fifty years in this field.

Heart Valve Diseases

The human heart is a composite organ that supplies oxygen rich blood from the heart to the body. It has four chambers and four valves which ensure blood flows in a designated direction only. The four valves in the heart are the Tricuspid Valve, the Pulmonary Valve, the Mitral Valve and the Aortic Valve.

In heart valve disease, one or more of the valves in your heart don't open or close properly causing the blood flow through your heart to your body to be disrupted. Heart valve disease may be present at birth (congenital). It can also occur in adults due to many causes and conditions, such as infections and other heart conditions.

Key Benefits of Tele/Video-consultation

The Heart Valve Clinic Difference

P.D. Hinduja Hospital Heart Valve is one stop solution for all Heart Valve Problems and is
the first of its kind in the country.

  • It offers complete Heart Valve care including diagnosis, all types of treatments from repair to replacement, Non-Surgical to Surgical, and follow up services.
  • You get a single combined opinion of cardiologists, cardiac surgeons and radiologists for best personalized treatment.
  • You are in safe hands of the most experienced Cardiologists and Cardiac Surgeons, specialised in Heart Valve Treatment. Our cardiac surgeons have successfully conducted amongst the maximum number of Heart Valve treatments in the country.
  • Our skilled and experienced radiologists perform all diagnostics tests with utmost accuracy, which is essential to determine the best treatment option for you.
  • The clinic has the latest state-of-art technology for all diagnostic tests, procedures and treatment.
  • We are with you in your entire treatment journey, assuring you of a smooth and convenient experience. You have access a dedicated clinic coordinator and helpline number for your support and guidance.

Symptoms of Heart Valve Diseases

You should seek appointment with our heart valve clinic if you experience any of
the following symptoms

Chest pain

Chest pain

Fatigue

Fatigue

Swelling of your ankles and feet

Swelling of your ankles and feet

Dizziness

Dizziness

Fainting

Fainting

Irregular heartbeat

Irregular heartbeat

Irregular heartbeat

Abnormal sound (heart murmur) when a doctor is listening to the heart beating with a stethoscope

Irregular heartbeat

Abdominal swelling (more common with advanced tricuspid regurgitation)

Irregular heartbeat

Shortness of breath, particularly when you have been very active or when you lie down

Symptoms may vary with the type of heart valve disease. It may be noted that some people with minor heart valve disease might not experience symptoms for many years, so it is advisable to get a basic heart check done regularly.

Treatment options offered at the clinic:

  • Conventional (traditional) open heart valve surgery
  • Minimally invasive surgery
  • Hybrid procedure (minimally invasive valve surgery with simultaneous percutaneous intervention)
  • Percutaneous Mitral Valve Repair
  • Transcatheter Aortic Valve Replacement (TAVR)
  • Left Atrial Appendage/Closure
  • Balloon Valvuloplasty
  • Left Atrial Appendage Ligation/Closure

Conditions that can be treated at Valve Clinic

  • Aortic stenosis
  • Aortic regurgitation
  • Mitral stenosis
  • Mitral regurgitation
  • Tricuspid regurgitation
  • Pulmonary stenosis
  • For patients with comorbidities and patients who have had multiple procedures are not good surgical candidates

Follow up services offered at the clinic

  • Life long post operative INR (international normalized ratio) management for patients who have undergone mechanical valve implantation
  • INR management for patients for three to six months who have undergone bioprosthetic valve placement
  • Arrhythmia management in post operative patients

Packages Offered

Heart Valve Clinic Investigations
                  (ECG, 2D ECHO & Chest X-Ray)
Heart Valve Clinic Cardiologist Consultation
Heart Valve Clinic Cardiovascular Surgeon Consultation

Cardiovascular Surgeons

Dr. Kaushal Pandey

Dr. Kaushal Pandey

Consultant Cardiovascular Surgeon Head, Heart Valve Clinic
M.S., M. Ch., F.A.C.A., F.I.S.C., F.I.A.C.S.
Dr. Deepak Naphde

Dr. Deepak Naphade

Consultant Cardiovascular Surgeon
MBBS, MS, M.Ch, F.I.A.C.S

Cardiologists

Dr. C.K.Ponde

Dr. C.K.Ponde

Consultant Cardiologist
M.D. (Gen. Med), D.M. (Card), D.N.B. (Card) FACC (USA), FSCAI (USA) FCSI, FISE, FICC, FIAE
Dr. Rajesh Rajani

Dr. Rajesh Rajani

Consultant Coronary Interventionist
M.D, D.M, Fellow (Interventional Cardiology)
Dr. Navneet Kumar

Dr. Navneet Kumar

Consultant Cardiologist
M.D., D.M.
Dr. Sudhir Pillai

Dr. Sudhir Pillai

Consultant Cardiology
M.B.B.S, M.D, DM, D.N.B, Fellowship in Interventional Cardiology, Australia

Heart Valve Clinic Details:

P. D. Hinduja National Hospital & Medical Research Centre, Lalita Girdhar Tower II, Dilip Gupte Road, Mahim, Mumbai - 400 016.

Clinic Timings: Tuesday, 3 pm to 5 pm
For appointments call: 022 67668181 / 022 45108181
General Enquiries: +91 - 022 - 2445 1515
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Evolution by Dr. Kaushal Pandey, Consultant Cardiovascular Surgeon:


The year 2021 happens to be the sixtieth anniversary of first heart valve replacement surgery. Albert Starr performed the world's first mitral valve replacement surgery in 1961 in Portland, OR, USA. He used the Starr-Edward ball and cage mechanical valve on his patient. Many refinements did happen to the mechanical heart valve over these decades. Hundreds of thousands of patients received the Starr Valve. Many of these patients continue to live with these valves with good quality life. The Starr-Edward valve was discontinued 20 years ago.

Later in the 1960s, we saw the emergence of tissue heart valves. There were two areas of interest and source of the tissue. One was a bovine pericardial valve and the other was cadaveric human aortic valve (also called aortic homograft valve). Here, I need to elaborate on both of them, because they are still here albeit in refined form, but are likely to remain there for many years to come. It is likely that these may disappear from clinical use after a decade or so.

Aortic homograft valves in different forms were propagated by three outstanding surgeons and they are still in use in some countries. Sir Donald Ross developed this surgery and use of this valve in the UK. It continues to be the valve of choice in certain situations. Sir Brian Barratt Boyes popularised this valve in New Zealand at Greenlane Hospital. Mark O'Brien did some fantastic work on these valves and developed Cryopreserved Aortic Homograft. These valves continue to be used at Prince Charles Hospital, Brisbane. I had the fortune of working at Prince Charles and also happen to be the last Registrar of this legend.

Bovine pericardial valves were launched in the late 1960s. Ionescu-Shiley was the first pericardial valve. It showed promise, but failed to deliver results beyond ten years and hence was abandoned. Over the years many refinements have been made to pericardial valves. They have been refined over and over again, but perfection is not in sight. They continue to be refined and improved upon. All four major heart valve manufactures now make pericardial valves and I need to mention their names. We have Edwards LifeSciences, Medtronics, St. Jude Medical Abbott, all from the USA and Sorin- LivaNova from Europe. All these companies make current generations of surgical heart valves, but also TAVI / TAVR valves.

Use of aortic homografts remained restricted. This required development of valve banks in the hospital, which was not easy and also required legal and legislative permissions. Also this valve was restricted to use in the aortic position only. This valve also required specialised implantation techniques and there is a learning curve.

In the late 1970s, St. Jude Medical launched a Bileaflet Mechanical Valve. This valve has had 3 million implants worldwide without a structural failure. St. Jude Medical Bileaflet valve continues to remain a Gold Standard as mechanical heart valve design. These valves are very durable but require lifelong oral anticoagulation.

There are a plethora of tissue heart valves available today. They are bovine pericardial valves and have improved durability. They also resist calcification in young patients.

Last decade has seen tremendous advances in the field of TAVI / TAVR (Trans arterial valve implantation or replacement). These valves are not only getting better, but their use is increasing in exponential measure.

Last few years have seen a concept of heart valve care team approach. This is a team approach between a Cardiac Surgeon and Cardiologist into providing dedicated care towards therapy of heart valve patients.

The concept of a heart valve clinic is quite recent. Earlier this year ESC Journal published an article on Heart Valve Clinic. Its role and how to conduct the clinic is clearly defined.

P. D Hinduja Hospital Heart Valve Clinic is a clinic in this direction. It will provide comprehensive and scientifically accurate treatment to valve patients who attend this clinic. Emphasis will be on accurate diagnosis and standardisation of therapy. It will give exposure to newer modalities of heart valve therapy to our patients. This clinic will offer state-of-the-art medical care and newer therapies to our patients including TAVI / TAVR.