Bhubaneswar: Dr. Subasis Mishra, Head of the Department of Cardiology and Dr. Suryakant Jena, at KIMS Hospital, Bhubaneshwar, has successfully performed Odisha’s first-ever transcatheter Mitral Valve Repair (MTR) using the MyClip device on a critically ill 66-year-old male patient who was presenting with severe heart failure and functional mitral regurgitation. This landmark procedure marks a major advancement in minimally invasive heart care in the state.
The patient was admitted with serious breathlessness and difficulty in lying flat, symptoms that had worsened over several days. He had a long history of heart disease and had earlier undergone bypass surgery. In addition, he was living with diabetes, high blood pressure, thyroid issues, irregular heartbeat, and reduced heart pumping capacity. Despite prolonged hospital care and intensive medical treatment for over 40 days, his condition did not improve and he remained extremely weak and breathless.
The depth test results revealed that one of these valves, known as the mitral valve, was leaking seriously, causing blood to flow backwards. It was also determined that because the patient was in a grave health condition and vulnerable to surgery, an open heart surgery would not be an advisable solution.
After careful assessment, the cardiology specialists decide to perform a minimally invasive procedure via trans catheters, without having to go through chest incision surgery. Dr. Suryakant Jena, along with Dr. Subhasis Mishra, performed Mitral Valve Repair, utilizing MyCLIP, which was delivered to the heart via blood vessels.
The effect was immediate and remarkable. The leakage in the valve stopped entirely, there was a marked decrease in the intracavitary pressures, and the flow of blood to the lungs increased. Most importantly, though, the patient rallied quickly to the point where he could be discharged from the hospital four days post procedure.
Commenting on the procedure, Dr. Subasis Mishra said, “High-risk patients with end-stage heart failure and a background of previous cardiac surgery can be quite challenging. However, the role of transcatheter mitral valve repair has emerged as an excellent alternative, the success of which has underlined the importance of careful planning and technical detail.”
Adding his remarks, Dr. Suryakant Jena said, “This procedure brings hope to all those patients who cannot undergo open heart surgery. The arrival of such innovative and technologically advanced heart procedures in Odisha is a step in the right direction for better patient care.”
This is a very successful procedure and draws attention to the increasing importance being given to mitral valve repairs under trans-catheter approach for patients with severe heart failure and functional mitral regurgitation. This case also showcases Dr. Mishra’s and Dr. Jena’s skills and experience in performing complex cardiac procedures and enhancing cardiac care facilities in Bhubaneswar.
