The patient was suffering from severe mitral valve leakage and a blocked bypass graft. After being turned away by multiple hospitals in Mumbai with no further treatment options offered, he found hope in Jaipur with senior interventional cardiologist Dr. Ravindra Singh Rao. Acting on that trust, the patient took a bold decision—he got himself discharged against medical advice and traveled nearly 1200 km by road ambulance to Jaipur, where treatment was finally made possible.
A complex cardiac history
Dr. Rao shared that the patient had undergone open-heart surgery about 8 years ago, which included bypass surgery and mitral valve replacement. Over time, his condition deteriorated significantly. He began experiencing breathlessness even at rest, increasing anxiety, and frequent hospital admissions.
Investigations revealed that the previously replaced mitral valve had failed again, and the bypass graft had become blocked. The situation was critical, and even leading hospitals in Mumbai had declined further intervention. In this moment of despair, the patient and his family reached out to doctor in Jaipur, who not only identified a treatment pathway but also instilled the confidence needed to pursue it.
A challenging 22-hour journey
The journey from Mumbai to Jaipur was far from easy. Covering 1200 km over 22 hours, the patient was in a fragile and unstable condition. Despite the risks, the family remained firm in their faith. Throughout the journey, Medical team monitored the patient remotely, ensuring continuity of care.
Upon arrival in Jaipur, the patient was immediately taken under close medical supervision.
Advanced ‘Valve-in-Valve’ TMVR procedure
Dr. Rao performed a highly complex transcatheter mitral valve replacement (TMVR), placing a new valve within the previously implanted one—a technique known as “valve-in-valve.” The procedure was guided using advanced 3D transesophageal echocardiography (3D TEE).
The new valve was implanted via a minimally invasive approach through a vein in the leg, allowing the patient to experience significant relief in breathing within just 24 hours.
Two days later, the patient underwent a complex angioplasty to restore blood flow in the blocked bypass graft. Remarkably, he was discharged just 2 days after the procedure.
A new lease on life
The patient shared emotionally that he was previously unable to walk even 4 steps without discomfort. Today, he is able to walk up to 5 kilometers—something he hadn’t imagined possible again.
His recovery is a testament to the power of timely medical intervention, advanced technology, and above all, unwavering trust.
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