Bhubaneswar, Dec 17:Manipal Hospital Bhubaneswar has successfully performed a highly complex Transcatheter Aortic Valve Implantation on an elderly woman suffering from severe aortic stenosis, marking a significant milestone in advanced cardiac care in the region.
The procedure was carried out at the hospital’s cardiac unit by Dr. Dibya Ranjan Behera, Consultant Interventional Cardiologist, along with a highly skilled multidisciplinary team. The patient had presented with recurrent fainting episodes and chest pain and was diagnosed with critical narrowing of the aortic valve, necessitating urgent intervention. Given her advanced age and multiple comorbidities, conventional open-heart surgery posed substantial risks, making TAVI the safest and most effective minimally invasive option.
The case was particularly challenging due to severe calcification of the patient’s aorta and femoral arteries, a condition known as porcelain aorta, which ruled out standard transfemoral access for the procedure. Alternative access routes were carefully assessed but deemed unsuitable. To overcome this obstacle, the cardiology team employed intravascular lithotripsy an advanced technique used to fracture calcium deposits within the artery successfully widening the calcified femoral artery and enabling safe passage of the catheter system.
Following adequate vessel preparation, a balloon-expandable valve was precisely implanted, restoring normal valve function. The patient’s post-procedure recovery has been remarkable, with complete resolution of symptoms and a swift return to daily activities.
Commenting on the success of the procedure, Dr. Dibya Ranjan Behera said;
“TAVI has transformed cardiac care for elderly and high-risk patients. Performing an IVL-assisted TAVI in such a complex scenario required meticulous planning, technical precision, and seamless teamwork. This achievement underscores our ability to manage even the most challenging cardiac conditions using advanced interventional techniques.”
With this landmark procedure, Manipal Hospital Bhubaneswar continues to set new benchmarks in cardiac interventions, reaffirming its commitment to delivering world-class patient care through innovation, expertise, and clinical excellence.
