{"id":177,"date":"2022-09-30T12:04:00","date_gmt":"2022-09-30T06:34:00","guid":{"rendered":"https:\/\/drpavankumar.in\/blog\/?p=177"},"modified":"2025-06-18T18:11:03","modified_gmt":"2025-06-18T12:41:03","slug":"double-valve-replacement-coronary-bypass-surgery-in-heavily-calcified-heart-valve-disease-patient","status":"publish","type":"post","link":"https:\/\/drpavankumar.in\/blog\/double-valve-replacement-coronary-bypass-surgery-in-heavily-calcified-heart-valve-disease-patient\/","title":{"rendered":"Double Valve\u00a0 Replacement &#038; Coronary Bypass Surgery in Heavily Calcified Heart Valve disease patient."},"content":{"rendered":"\r\n<p>K S 67 Yrs old male presented with <strong>Ant. Wall MI ( heart attack)<\/strong> on Investigations like Echo, it was found that he had <strong>Critical Aortic Stenosis with Dense Aortic Valve calcification , Mitral annular calcification with MS \/ MR &amp; heavy calcification<\/strong> of left ventricular out flow.<\/p>\r\n\r\n\r\n\r\n<p>Coronary Angiography showed severe calcified left main stem stenosis of 90% , calcified circumflex &amp; RCA. Ascending Aorta showed calcified posterior wall. He was advised <strong>Double Heart Valve Replacement (DVR ) with 4 vessel Coronary Artery Bypass Surgery (CABG) .<\/strong><\/p>\r\n\r\n\r\n\r\n<p>He underwent <strong>DVR + CABG x 4 <\/strong>under TEE guidance at Lilavati Hospital by <strong>Dr. Pavan Kumar<\/strong> successfully. Operative findings showed <strong>heavily calcified Aortic Valve, Mitral Valve coronary arteries &amp; posterior wall of &nbsp;ascending Aorta.<\/strong> There was densely calcified blob below left Coronary sinus on left ventricular wall extending down. All these were carefully removed without damaging L.V. musculature. <strong>Aortic valve<\/strong> was replaced by # <strong>19 Mechanical valve, &amp; Mitral valve was replaced # 27 Mechanical valve &amp; coronary arteries was bypassed by LIMA &amp; Saphenous veins<\/strong> . Safe non-calcified Aortic wall was used for proximal Anastomosis . Patient was recovered smoothly with no complications &amp; discharged on 7<sup>th<\/sup> post operative day.<\/p>\r\n\r\n\r\n\r\n<p><strong>Discussion<\/strong> : &#8211; <strong>Double Heart Valve Replacement &amp; multiple vessel CABG<\/strong> is very complex Heart Operation involving long time of Heart Arrest, Cardiopulmonary Bypass &amp; Myocardial protection &amp; safe recovery. This is further complicated by presence of heavy calcification in heart valve apparatus, Ascending Aorta, left ventricle &amp; coronary arteries. Delicate dissection &amp; removal of calcification without damaging heart muscles &amp; nerves is of great importance. Coronary bypass grafting in calcified vessels also requires skills &amp; experience. This patient had all these factors to tackle for successful outcome. Expertise of Dr. Pavan Kumar Senior Heart Surgeon with 30 yrs experience made this DVR + CABG x 4 possible without complication.&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>K S 67 Yrs old male presented with Ant. Wall MI ( heart attack) on Investigations like Echo, it was found that he had Critical Aortic Stenosis with Dense Aortic Valve calcification , Mitral annular calcification with MS \/ MR &amp; heavy calcification of left ventricular out flow. Coronary Angiography showed severe calcified left main [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":211,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[141,144,142,143],"class_list":["post-177","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angioplasty","tag-as-ms","tag-complex-cabg","tag-double-heart-valve-replacement-dvr","tag-heavily-calcified"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Aortic Valve &amp; Mitral Valve Surgery | Best Heart Specialist in India<\/title>\n<meta name=\"description\" content=\"Expertise of Dr. Pavan Kumar Senior Heart Surgeon In Mumbai with 30 yrs experience made this DVR + CABG x 4 possible without complication.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drpavankumar.in\/blog\/double-valve-replacement-coronary-bypass-surgery-in-heavily-calcified-heart-valve-disease-patient\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Aortic Valve &amp; 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