Double Valve Replacement at Max Hospital

Double valve replacement surgery, also known as heart valve replacement surgery, becomes necessary when the valves of the heart fail to function properly. This procedure aims to replace damaged valves, allowing the heart to function efficiently and preventing further damage to heart muscles.

The heart has four valves – aortic, mitral, pulmonary, and tricuspid valves – facilitating blood flow within the body and throughout the heart. Valvular heart disease may develop due to irreparable damage to any of these valves, initially showing minimal symptoms. However, when symptoms such as difficulty breathing, arrhythmias, and fainting arise, immediate treatment is crucial to prevent fatal outcomes.

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Types of Valve Replacement

Valve replacements can be either mechanical or biological. Mechanical valves, made from biocompatible materials, last 10 to 20 years but may cause blood clotting, necessitating lifelong blood thinners. Biological valves, derived from human or animal tissue, include allografts, porcine valves, and bovine valves. While the risk of stroke is lower with biological valves, they have a shorter lifespan compared to mechanical ones.

When is the Procedure Needed?

Double valve replacement is indicated for conditions such as valve regurgitation and valve stenosis. Symptoms of a malfunctioning valve include fatigue, dizziness, chest pain, and fluid retention. Ideal candidates for the procedure should meet specific criteria, including age, tolerance to surgery, ongoing medications, irreparable valve, and failed previous valve repair or replacement.

Who are the Ideal Patients for Double Valve Replacement (DVR)?

Patients meeting criteria such as age, tolerance to surgery, ongoing medications, irreparable valve, and complications like infection or blood clots are considered ideal candidates. Patients with contraindications for blood thinners or severe medical co-morbidities like advanced cancer, severe lung disease, or multi-organ failure are not suitable for DVR. Severe dementia affecting the ability to understand and consent to the procedure is also a contraindication.

How to Prepare for Surgery?

Preparation involves discussing medical history, informing about ongoing medications, and quitting smoking and drinking to enhance surgical outcomes. Blood thinners are stopped before surgery, and prophylactic antibiotics may be prescribed. Patients should shower before surgery, avoid eating or drinking for a specified period, and refrain from wearing jewelry.

What Happens During a Double Valve Replacement (DVR) Procedure?

Performed under general anesthesia, DVR involves making incisions to replace valves. Traditional surgery requires a large incision, while minimally invasive procedures use shorter incisions to reduce infection risk. A bypass machine maintains blood flow, and once the valves are replaced, incisions are closed, drains are placed, and patients are monitored in the ICU.

Risks/Complications

While DVR has associated risks, the fatality rate is low. Complications may include bleeding, infection, blood clots leading to stroke or heart attack, breathing problems, valve failure, endocarditis, pneumonia, arrhythmias, and allergic reactions to anesthesia.

Care after Procedure

Post-surgery, patients are monitored in the ICU with IV fluids, painkillers, and antibiotics. Oxygen may be provided, and drains and catheters are used to eliminate waste. After ICU, patients move to regular rooms, gradually starting movement and breathing exercises. Post-discharge instructions include avoiding heavy lifting, taking prescribed medications, resting, avoiding stress, and making lifestyle changes.

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Dr. Rajneesh Malhotra

Specialist: Cardiac Surgeon/Thoracic Surgeon
Experience: 23+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Currently associated as Director – Cardio Thoracic & Vascular Surgery at Max Super Speciality Hospital, Saket.
Carries 25 years of rich experience in cardiac surgery.
Expert in Minimally Invasive Cardiac Surgery, Minimally Invasive Mitral Valve Replacement, and repairs, Coronary Artery Bypass Grafting (CABG), Aortic Valve Replacement and Repair, Atrial Septal Defects (ASD’s).

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Specializes in Robotic Cardiac Surgery, ECMO – Extra corporeal membrane oxygenation and Surgical treatment of heart failure and ventricular assist devices (VAD).
Member of Southern Thoracic and Cardiovascular Society, USA, European Association for Cardio Thoracic Surgery, London, UK, International Society of Minimally Invasive Cardiac Surgery (ISMICS), Life Membership and Fellowship of Indian Association of Cardiovascular and Thoracic Surgeons of India (IACTS), Member of Indian Association of Surgeons of India and many more.

Dr. Ganesh K. Mani

Specialist: Cardiac Surgeon
Experience: 37+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Presently working as the Chairman of Cardio Thoracic and Vascular Surgery at Max Smart Super Specialty Saket City Hospital, New Delhi.
Prior to joining Max Smart Super Specialty Saket City Hospital & Saket City Hospital, he was associated with Indraprastha Apollo Hospital and Pushpanjali Crosslay Hospital.
Performed over 18000 Cardiac Surgeries and has achieved zero mortality in more than 500 consecutive surgeries and has also pioneered Beating Heart Coronary Artery Bypass.

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Bestowed with Padma Shri award by president of India.
Member of renowned organisations such as European Association of Cardio Thoracic Surgeons, Society of Thoracic Surgeons, USA, International Society of Minimally Invasive Cardiac Surgeons.

Dr. Rahul Mehrotra

Specialist: Cardiologist
Experience: 20+years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr. Rahul Mehrotra is a reputed Cardiologist in Gurgaon with over 20+ years of experience.He currently practices at Max Super Speciality Hospital, Saket in Saket(Delhi).
Dr. Rahul Mehrotra holds membership of Cardiological Society of India (CSI), American Society of Echocardiography and Indian Academy of Echocardiography.
Dr. Rahul Mehrotra has pursued his DNB – Cardiology from Diploma National Board, MD – Medicine from Dr. Sampurnanand Medical College, Jodhpur, MBBS from Dr. Sampurnanand Medical College and Jodhpur in 1998.

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Life Member-Cardiological Society of India (Reg. No. L-3613)
Life Member-Indian Academy of Echocardiography (Membership No. 1251)
Dr. Rahul Mehrotra has been worked at University of Chicago (USA).
All India rank 129 in CBSE Pre-Medical Test. Selected in AFMC and AIIMS,1992
Dr. G. C. Sanghi Gold Medal for highest marks in the Institution,1993
S. N. Merit Gold Medal for highest marks in the Institution and University,1995
Dr. M. Chenna Reddy Award and Gold Medal in Cardiology presented by Hon. Vice President of India for best research paper at RAJAPICON-2001

Dr. C P Roy

Specialist: Cardiologist
Experience: 32+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr. C P Roy is currently working at Max Super Speciality Hospital, Saket in Saket(Delhi).
He was Head of Department of Medical Education (Cardiology) and Senior Consultant, Cardiology. He was also Incharge of training DNB Cardiology and PGDCC (Postgraduate Diploma in Clinical Cardiology).
He is a highly skilled Cardiologist and Aortic Valve Surgeon in Delhi.

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He holds an experience of 32 years in the medical field.
He has been awarded the ‘Vishisht Seva Medal’ by the Hon. President of India for his outstanding contribution to the field of Cardiology.
Dr. C P Roy Registration Number is 10316
He has done his DM – Cardiology from POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH, CHANDIGARH in 1988, MD – Medicine from Armed Forces Medical College (AFMC), Pune in 1978, MBBS from Armed Forces Medical College (AFMC) and Pune in 1970.
He is a honorable member of Indian College of Cardiology (ICC), Indian Academy of Echocardiography, International Medical Sciences Academy, American College of Cardiology, Fellow of Cardiological Society of India and Fellow of European Society of Cardiology.

Dr. Anupam Goel

Specialist: Interventional Cardiologist
Experience: 23+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr. Anupam Goel got trained in cardiology from GB Pant Hospital, Delhi and King George Medical University, Lucknow.
Dr. Anupam Goelworked in Kailash Heart Institute and Research Centre, Noida briefly as consultant and then joined Max Healthcare as Interventional Cardiologist.
Dr. Anupam Goel is a gold medal recipient in graduation.

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Dr. Anupam Goel has areas of work are Interventional Cardiology (Coronary And Peripheral Angiography, Angioplasty and Stent Implantation), Acute Coronary Care (Acute Myocardial Infarction Management and Primary Angioplasty and Stents), Critical Care of Heart Patients (Heart Failure, Arrhythmias), and Clinical Cardiology.
Dr. Anupam Goel has a special interest in managing and preventing heart diseases in women.
Dr. Anupam Goel is regularly invited as faculty in International and National Cardiology meetings.
Dr. Anupam Goel is quick to adopt the latest international guidelines and trends for the management of her patients.

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Dr. V K Chopra

Specialist: Interventional Cardiologist
Experience: 37+years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr. Chopra is a senior cardiologist with experience of 37+ years.
He is one of the most experienced doctors in the field of preventive cardiology and management of patients with advanced heart disease.
He has been trained from the reputed American College Of Cardiology.

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He has completed his MBBS from Christian Medical College, Vellore, India. And he then went on to pursue his MD from Post graduate Institute of Medical Education and Research, Chandigarh, India.
He specializes in the field of preventive cardiology, heart failure, advanced heart diseases, etc.

Dr. Sanjeev Malhotra

Specialist: Cardiac Surgeon
Experience: 15+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr. Sanjeev Malhotra is a cardiothoracic surgeon with over 15 years of experience in managing complex cardiovascular and thoracic surgeries.
Dr. Sanjeev Malhotra completed his Masters in General Surgery and subsequently received a Diplomate National Board of Examination (CTVS).
Dr. Sanjeev Malhotra has done more than 2000 cardiac procedures including Mitral Valve repairs, total Arterial bypass, Thoracic surgeries and Minimally invasive surgeries.

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Among his medical achievements, he started the Mitral Valve repair program at Max Saket that has helped many patients till date.
Dr. Sanjeev Malhotra is also a life-time member of the Indian Association of Cardiothoracic Surgeon.

Dr. Akhilesh Srivastava

Specialist: Interventional Cardiologist
Experience: 19+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr. Akhilesh Srivastava is presently working as Senior Consultant of Non invasive Cardiology at Max Smart Super Specialty Hospital, Saket, New Delhi
Dr. Akhilesh Srivastava specializes in Non Invasive cardiology and Preventive health checks
Dr. Akhilesh Srivastava is a member of reputed organisations such as Delhi Medical Association, Cardiological society of India

Dr. Ashok K Gupta

Specialist: Cardiac Surgeon
Experience: 30+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr. Ashok K Gupta is a renowned Cardiothoracic Surgeon practising successfully for more than 30+ years.
Dr. Ashok K Gupta is adept in performing CABG, Beating Heart CABG, Total Atrial Bypass, and Complex CABG etc.
Dr. Ashok K Gupta his career spanning nearly three decades.

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Dr. Ashok K Gupta has performed 5050 Cardiac procedures including total Arterial bypass, minimally invasive surgeries and Thoracic surgeries.
Dr. Ashok K Gupta is a Life member of Indian Association of Cardiothoracic Surgeons and Society for Heart failure and Transplant.
After graduating with MBBS, he pursued MS in General Surgery. Thereafter, he did MCh in Cardiothoracic and Vascular Surgery.
Dr. Ashok K Gupta did Fellowship in CTVS and FIACS.

Dr. Rahul Chandola

Specialist: Cardiac Surgeon
Experience: 20+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr. Rahul Chandola is currently associated as Senior Consultant with the Department of Cardiothoracic Surgery at Max hospitals, New Delhi.
Expertise lies in Heart Transplantation & Lung Transplantation and performed more than 100 successful heart transplants
Interests are Adult and Pediatric – Heart Transplants, VADS and Artificial Heart, Off-pump single as well as double lung transplantations, Bilateral lung transplantations through midline sternotomies, Ex-vivo lung perfusion techniques for donor lung preservation, Ex Vivo Perfusion for donor’s hearts and ECMO

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Professional ember of the Canadian Cardiovascular Society, Asian Cardiovascular Society, and Indian Association of Cardio-Vascular Society

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Dr. Kulbhushan Singh Dagar

Specialist: Cardiac Surgeon
Experience: 30+ years of experience overall
Hospital: Max Hospital Saket

About Doctor:

Principal Director, Chief Surgeon & Head – Neonatal & Congenital Heart Surgery.
Dr. Kulbhushan S. Dagar has been in the field of cardiac surgery for over 30 years, of which the last decade and a half has been dedicated exclusively to the care of infants and children with congenital heart defects.
An accomplished surgeon, he has operated upon the whole spectrum of Congenital Cardiac Defects in newborns and children, regardless of complexity.

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He has the breath of expertise and experience to tackle the most complex and challenging cases.
He leverages innovative techniques and leading-edge technologies to care for children with heart defects from India and Overseas.
Dr. Dagar had his formal training at GB Pant Hospital, New Delhi. As Specialist Registrar, he distinguished himself during his association with the Great Ormond Street Hospital for Sick Children, at London (UK).
During his stay there, he was initiated into Extra Corporeal Life Support and Heart Transplant techniques.

Dr. Vinay Kumar Bahl

Specialist: Cardiologist
Experience: 40+ years of experience overall
Hospital: Max Hospital Saket

About Doctor:

Principal Director – Cardiac Sciences
Dr Vinay Kumar Bahl, former Dean and Chief of Cardio Thoracic Centre and Head of Cardiology at All India Institute of Medical Sciences (AIIMS), New Delhi, is a world-renowned name in the ﬁeld of cardiology.
He joined AIIMS in 1985 and brings over 40 years of experience and leadership in Cardiac Treatments at Max Hospitals.

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He has special interest in the field of interventional cardiology both coronary and valvular interventions.
He has been decorated with number of prestigious awards, orations and fellowships from national and international academics.
Our world class team is strengthened due to his experience and knowledge.

Dr. S. K. Sinha

Specialist: Cardiac Surgeon
Experience: 31+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr S K Sinha is one of the leading Cardiac Surgeon In India.
Dr S K Sinha has experience of over 31+ years & has performed more than 10,000 cases .
Dr S K Sinha completed his MBBS from AFMC,Pune & his MS from Patna University.Following which he did his Mch from the famed PGIMER,Chandigerh.

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Dr S K Sinha has also done a course on Managing Healthcare Delivery from Harvard Business School, Boston.
Dr S K Sinha is an active member of various renowned organizations like Life Member, Indian Association of Cardiovascular & Thoracic Surgeons India & Life Member, Cardiological Society of India Founder member, Indian College of Cardiology IJCTS & Asian Annals, Peer Reviewer for various Cardiac Papers .
His expertise lies in Operating Aortic Aneurysms and Managing Minimally Invasive Programme, Total Arterial Grafts for CABG on Beating Heart.

Dr. Mohan Bhargava

Speciality: Cardiologist
Experience: 35+ Years Experience
Hospital: Max Hospital Saket

About doctor:

Dr. Mohan Bhargava is a Cardiologist of high acclaim with experience of over 35 years.
He deals with cases of Coronary and Endovascular Interventions.
He has been engaged in teaching for 18 years and is a Guide and Examiner of DNB, and FNB (Interventional cardiology).

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He held several significant positions during his career and is the Ex Deputy Medical Director in Malhotra Heart Institute, New Delhi, Ex President IMA NDB, Ex Senior Editorial Secretary of Indian Heart Journal, Advisor of Editorial Board of the Journal “Cardiology Today” and Indian Journal of Echocardiography.
He is the member of several prestigious associations including Cardiology Society of India and Cardiology Society of India, New Delhi.
He is extensively involved in research work and has so far published nearly 75 articles in National and International Journals.Connect to Dr Mohan Bhargava for priority appointments and a hassle-free experience via the medical experts.

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Max Hospital Saket Delhi

Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM

About Hospital:

Max Super Speciality Hospital at Saket is one of the topmost healthcare service
Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

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Max Hospital, Saket aims to provide the highest standard of medical care to the patients, right from admission and all the way to the patient discharge.
Max Smart Super Speciality Hospital, Saket, offers the advantage of integrated medical care in a multidisciplinary setting provided by a faculty of highly qualiﬁed doctors, nurses, & healthcare professionals.
Max Smart Super Speciality Hospital, Saket, is a regional hub for complex procedures such as neurovascular intervention, targeted cancer treatments, heart surgeries, orthopaedic surgeries, liver & kidney transplant, and fertility treatments.
With over 35 Speciality units, this renowned hospital caters to many patients from different parts of India as well as abroad on an everyday basis.
The super specialty hospital is well known for having Asia’s first and the world’s third BrainSUITE technology.
It is an advanced Neurosurgical operation theatre, which allows the medical team to use MRI during the surgery. This sophisticated technology can be used for various kinds of brain surgery.
Max Hospital group is also the first super speciality tertiary care centre that has the facility for advanced cardiac life support ambulances and air evacuation service.