TIL Desk Lucknow:
Doctors at Max Super Speciality Hospital, Lucknow, have successfully performed Uttar Pradesh’s first simultaneous Double Valve-in-Valve (VIV) procedure in an elderly patient in aortic and mitral positions. This highly complex, minimally invasive intervention offers a vital alternative to high-risk open-heart surgery for patients with severe valve degeneration.
The 77-year-old patient had undergone double valve replacement more than a decade ago. Over time, both valves had degenerated, leading to severe narrowing and leakage, resulting in life-threatening complications such as heart failure, pulmonary edema, and atrial fibrillation. The patient came with repeated admissions for heart failure & Pulmonary edema to the Max Hospital, Lucknow with symptoms including fatigue, shortness of breath and chest pain. Due to multiple comorbidities—including COPD and post-surgical adhesions—traditional re-do surgery was deemed too risky.
After a thorough evaluation, the medical team led by Dr Nakul Sinha, Chairman – Cardiology, Max Super Speciality Hospital, Lucknow, suggested a double-valve-in-valve procedure as the safest and most effective option. Valve In Valve Procedure(VIV) Transcatheter Aortic Valve Replacement (TAVR) and Transcatheter Mitral Valve Replacement (TMVR) procedure was recommended to the patient to replace the valves.
Under the guidance of Dr. Nakul Sinha, the skilled clinical team at Max Hospital, Lucknow replaced the two damaged heart valves using a minimally invasive approach—one in the aorta and another in the mitral position. To ensure the new valves functioned properly, the old ones were carefully widened using a special balloon technique. The procedure was completed smoothly, with excellent results—no major complications, no leaks, and proper blood flow.
Commenting on the case, Dr. Nakul Sinha Chairman – Cardiology, Max Super Speciality Hospital, Lucknow said, “This case marks a major milestone in interventional cardiology in the state of UP. Given the patient’s high surgical risk due to his age, we had to push the boundaries of technology and expertise to ensure a successful outcome. The success of this Double Valve-in-Valve procedure highlights the significant advancements in minimally invasive cardiac care.”
Unlike traditional open-heart surgery, this minimally invasive procedure significantly reduces recovery time, risks, and hospital stay for patients. The patient made a remarkable recovery – extubated within 30 minutes post-procedure and discharged on the third day, fully mobilised and symptom-free.
Dr. Sinha further added, “The patient’s rapid recovery underscores the efficacy and safety of this procedure. For patients with no other surgical options, these advanced interventions offer renewed hope and a significantly improved quality of life.”
This achievement was made possible by the collective expertise of the Cardiology team, including Dr. Amit Soni, Dr. Ankit Singh, Dr. Abhinav Pande, and anesthetist Dr. Sameer Mishra, alongside dedicated paramedics and technicians.
With this historic success, Max Super Speciality Hospital, Lucknow, continues to set new benchmarks in minimally invasive cardiac procedures, reaffirming its leadership in advanced cardiac care in Uttar Pradesh and beyond.
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