click on the image to see a larger version
This is an image of an autopericardial valve that I made and implanted this week.Pateint received a tricuspid repair +autopericardial mitral valve + eMAZE. I ma sorry, I did not take intraop photos (which I wish I did The case was a 58 year old lady (says she is 46 but age at marriage + time to birth of first sone + age of eldest son adds to 58 !!) withcalcific MS, sever TR severe pulmonary hypertension and atrial fibrillation. I have tried to reduce a video to fit into the email constraints so it hasnt come out that well but would give you an idea. The valve looked like a "natural valve"
The valve is stentless ie attached to the papillary muscles and is stabilized at the annulus with my indigenous ring.The valve is stentless ie attached to the papillary muscles and is
stabilized at the annulus with my indigenous ring. The total cost would come to around 500 Rs comapred to Rs 52,000 for the cheapest bioprosthesis in the market and some like the Edwards Magna valve cost around 1,50,000 Rs. To put it in perspective the cost of doing an
open heart excluding a valve in my hospital which is a non profit governemtal teaching hospital (basal cost excluding a valve) is 60,000 Rs (Current INR to $ is 48.35 INR to a $) and it would be much more in a private hospital
The video shows the excellent functioning of the valve on epicardial echocardiography after coming of cardiopulmonary bypass (heart lung machine).
