{"id":115,"date":"2019-04-20T19:02:24","date_gmt":"2019-04-20T13:32:24","guid":{"rendered":"http:\/\/drpavankumar.in\/blog\/?p=115"},"modified":"2025-06-18T19:01:03","modified_gmt":"2025-06-18T13:31:03","slug":"aortic-valve-replacement-in-critical-aortic-stenosis-with-congestive-heart-failure","status":"publish","type":"post","link":"https:\/\/drpavankumar.in\/blog\/aortic-valve-replacement-in-critical-aortic-stenosis-with-congestive-heart-failure\/","title":{"rendered":"Aortic Valve Replacement in Critical Aortic Stenosis with Congestive Heart Failure"},"content":{"rendered":"<p><strong>Aortic Valve Replacement in Critical Aortic Stenosis with Congestive Heart Failure<\/strong><\/p>\n<p>Mr. Ashok 28 yr Old had defective Aortic Valve since birth ( Bicuspid Aortic Valve), which gradually narrowed &amp; calcified by age of 25 yrs this Aortic Valve became critically narrowed with Aortic Valve area of less than 1 cm2 . Due to unavailability of financial help , he delayed the required heart operation. This delay resulted in heart failure with fluid accumulation in lungs, abdomen &amp; enlargement of Liver &amp; Poor renal \/ kidney function. His Echo cardiography showed very poor heart function of &lt; 25% &amp; failing right sided chambers.<br \/>\nTreatment \u2013 He was admitted in ICU &amp; started off with aggressive decongestive treatment . After 7 days this treatment , his liver, kidneys, &amp; lungs started functioning better. He was then taken up for Aortic valve replacement heart surgery in first week of April in BSES Hospital, Mumbai by Dr. Pavan Kumar , the Senior Heart Surgeon.<br \/>\nAVR ( Aortic Valve Replacement ) heart surgery was successful &amp; patient did very well &amp; discharged on 7th post operative day. <\/p>\n<p>Discussion \u2013 Critical Aortic Stenosis with congestive Heart Failure is very serious complication with very high mortality. As heart chambers decompensate leading to multiorgan ( Kidney, liver, Lungs)Failure. This leads to untimely death to these group of patients. Heart operation in this situations remains highly risky. Adequate aggressive decongestive therapy with preconditioning of Myocardium before AVR can help  in attaining successful outcome. Although it is a high risk operation but this must be offered to these patients of critical Aortic stenosis as this is a mechanical obstruction is removed by AVR , heart muscle recovers with recovery of other ( Lung, Liver, Kidney) organs like in this patient with surgeon\u2019s expertise &amp; good myocardial \/ liver \/ kidney \/ lung protection strategy this \u201c High Risk AVR in Heart Failure\u201d  can be operated successfully.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aortic Valve Replacement in Critical Aortic Stenosis with Congestive Heart Failure Mr. Ashok 28 yr Old had defective Aortic Valve since birth ( Bicuspid Aortic Valve), which gradually narrowed &amp; calcified by age of 25 yrs this Aortic Valve became critically narrowed with Aortic Valve area of less than 1 cm2 . Due to unavailability [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[76,78,77],"tags":[80,79,81],"class_list":["post-115","post","type-post","status-publish","format-standard","hentry","category-aortic-valve-replacement","category-bicuspid-aortic-valve","category-high-risk-avr-in-heart-failure","tag-aortic-valve-replacement","tag-critical-aortic-stenosis-with-congestive-heart-failure","tag-defective-aortic-valve"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Coronary Artery Bypass Surgeon | Consultant Cardiac Surgeon in Mumbai<\/title>\n<meta name=\"description\" content=\"28-year-old man with critical aortic stenosis underwent successful AVR surgery after aggressive decongestive therapy by Aortic Valve Replacement Sugeon In Mumbai.\" 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