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TMVR Surgery/Procedure

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About

What is TMVR Surgery/Procedure?

MVR or Transcatheter Mitral Valve Replacement is a minimally invasive procedure for patients with a severely damaged mitral valve or mitral regurgitation, a condition where the mitral valve doesn't close properly, causing blood to leak backward into the heart. The TMVR procedure in Mumbai involves delivering a new valve through a catheter, usually via the femoral vein in the thigh, and implanting it within the existing mitral valve without the need to open the chest.

TMVR in Mumbai is ideal for high-risk patients such as the elderly, those with prior heart surgeries, or individuals with multiple medical conditions. It improves heart function, reduces symptoms like breathlessness or fatigue, and shortens hospital recovery time.

Who It’s For?

Who Needs TMVR Surgery/Procedure?

  • Previous cardiac surgery

    Patients with a history of open-heart surgery who face increased risks with a repeat procedure

  • High-risk elderly patients

    Older adults with frailty or age-related conditions that make open surgery unsafe

  • Chronic comorbidities

    Conditions like chronic kidney disease, COPD, or diabetes that raise surgical risk

  • Severe mitral regurgitation or degenerated bioprosthetic mitral valve

    Patients with severe backflow of blood or a failing surgical mitral valve prosthesis may need valve-in-valve TMVR

Patient

Benefits of TMVR

What are the Benefits of TMVR Surgery/Procedure?

Minimally invasive

Minimally invasive

No need for traditional open-heart surgery or chest opening

Improved heart performance

Improved heart performance

Effectively reduces valve leakage and enhances cardiac efficiency

Shorter hospital stay

Shorter hospital stay

Most patients are discharged within 2-5 days

Faster recovery

Faster recovery

Less pain, lower risk of infection, and quicker return to daily activities

Safer for high-risk patients

Safer for high-risk patients

Lower complication rates compared to conventional surgery

Preserves chest integrity

Preserves chest integrity

No sternotomy required, which is especially beneficial for frail or elderly patients

Outcomes of Procedure Delay

Risks of Delay of TMVR Surgery/Procedure

Pulmonary hypertension

Long-term mitral regurgitation can cause permanent high pressure in the lungs.

Atrial fibrillation (AFib)

Ongoing regurgitation increases the risk of developing irregular heart rhythms.

Left atrial enlargement

Delayed treatment causes the upper heart chamber to enlarge and function poorly.

Progressive valve deterioration

Leakage worsens over time, making the valve harder to replace.

Reduced candidacy for TMVR

Anatomical changes may make minimally invasive TMVR surgery/procedure no longer viable.

Increased risk of blood clots

Abnormal blood flow raises the chance of stroke-causing clots.

Higher likelihood of heart failure

The heart weakens over time due to persistent backflow.

Risks of Delay of TMVR Surgery/Procedure
Procedure image

Procedure Timeline

TAVI Procedure Timeline & Recovery

Day 1

Day 1

Hospital admission and pre-procedure advanced mitral imaging (3D TEE, CT) to assess valve anatomy

Day 2

Day 2

TMVR procedure performed via catheter approach through the femoral vein, often under conscious sedation

Day 3–5

Day 3–5

Post-procedure monitoring and recovery in the ICU; most patients are discharged with aftercare instructions, some may require extended observation due to arrhythmia or mitral-specific complications

Week 1–2

Week 1–2

Rest at home with light activity; your first follow-up may include checks for residual leakage or atrial fibrillation.

Week 2–3

Week 2–3

Gradual return to routine activities; lifestyle adjustments and regular monitoring as some patients may need longer recovery if prior MitraClip or valve anatomy is complex

Beyond Week 3

Beyond Week 3

Resume daily life; continue follow-up checks for valve function, interaction with prior mitral interventions, and maintain heart health practices

Procedure Follow Up

Valve-in-Valve (ViV) TMVR

Over time, surgically implanted bioprosthetic mitral valves can wear out. This is called structural valve degeneration and typically occurs 8–12 years after the original surgery. The tissue leaflets may stiffen, calcify, or tear, leading to narrowing (stenosis) or leakage (regurgitation).

When this happens, Valve-in-Valve TMVR offers a minimally invasive alternative to repeat open-heart surgery. Instead of replacing the old valve entirely, a new transcatheter valve is placed inside the existing one.

  • Structural degeneration of the bioprosthetic mitral valve
  • Leaflet calcification or thickening causing restricted movement
  • Tearing or loosening of valve tissue leading to regurgitation

Doctor Consultation

What Sets us Apart

Why Choose Heart Valve Experts?

Leading TMVR Specialists

Leading TMVR Specialists

Our TMVR specialists in Mumbai have extensive experience handling complex and high-risk TMVR cases.

Multidisciplinary Valve Team

Multidisciplinary Valve Team

Cardiologists, surgeons, imaging experts, anesthetists, and specialized nurses work together to provide world-class care.

Comprehensive TMVR Valve Clinic

Comprehensive TMVR Valve Clinic

We offer complete evaluation, diagnosis, and care for patients with complex mitral valve disease.

Advanced Imaging for Precision

Advanced Imaging for Precision

Real-time 3D echocardiography and cardiac CT help in accurate valve sizing and positioning.

Affordable TMVR in Mumbai

Affordable TMVR in Mumbai

Transparent pricing and access to high-quality care in a cost-effective manner.

Trusted by Patients Across India

Trusted by Patients Across India

Our outcomes and care make us a go-to center for those seeking the best TMVR surgeon/operator in Mumbai.

Patient Success Stories

Every success story begins with the right care. Here are a few:

Doctors performed my father’s TAVI procedure successfully and explained everything with great care. Truly grateful for his expertise and compassionate team.

MRS. PREETI MANOHARAN

FAQs

Frequently Asked Questions About TAVI Procedure

No, the TMVR procedure is not traditional open-heart surgery. It’s a minimally invasive, catheter-based treatment procedure that replaces the mitral valve without large incisions or the use of a heart-lung machine.
Consultation

Your Heart Deserves Expert Care

Book a consultation at the best heart valve clinic in Mumbai and experience world-class care.