Heart Valve Surgery in Delhi NCR | Repair & Replacement — Dr. Ved Prakash
Dr. Ved Prakash · Director CTVS · Yatharth Super Speciality Hospital, Greater Noida
Heart Valve Surgery in Delhi NCR — Repair & Replacement by Dr. Ved Prakash
Mitral valve · Aortic valve · Rheumatic heart disease · Repair preferred over replacement · Yatharth Super Speciality Hospital, Greater Noida
Understanding the Condition
What Is Heart Valve Disease?
The heart contains four valves — mitral, aortic, tricuspid, and pulmonary — that open and close with every heartbeat, keeping blood flowing in the correct direction. When a valve becomes diseased, it either narrows (stenosis) or leaks (regurgitation), forcing the heart to work significantly harder than it should.
Over time, untreated valve disease leads to breathlessness, fatigue, fluid retention, arrhythmia, and ultimately heart failure. With timely surgical intervention, valve disease can be corrected with excellent long-term outcomes — particularly when valve repair is possible over replacement.
Dr. Ved Prakash, Director of CTVS at Yatharth Super Speciality Hospitals, Greater Noida, specialises in all forms of heart valve surgery — with a repair-first approach that avoids the need for lifelong blood thinners wherever anatomy permits.
Warning Signs
Symptoms That Should Not Be Ignored
Seek a cardiac opinion if you or a family member experiences any of the following:
- Breathlessness on mild exertion, climbing stairs, or at rest
- Unusual fatigue or significantly reduced exercise capacity
- Swelling in the feet, ankles, or legs
- Palpitations or an irregular, racing heartbeat
- A heart murmur detected on routine stethoscope examination
- Dizziness or unexplained fainting episodes
- Chest discomfort or pressure
If any of these are present — particularly a known murmur — an echocardiogram is the essential next investigation.
Conditions Treated
Valve Conditions Treated by Dr. Ved Prakash
Mitral Valve Disease
Most Common Valve Condition
Mitral stenosis — most often caused by childhood rheumatic fever — causes progressive restriction of blood flow from the lungs. Mitral regurgitation results from valve prolapse, degeneration, or infection. Dr. Ved Prakash prioritises repair over replacement in every case where anatomy permits.
Aortic Valve Disease
Stenosis & Regurgitation
Aortic stenosis is among the most common valve conditions in adults over 65 — a calcified, stiffening valve that restricts blood leaving the heart. Treatment may be surgical valve replacement or, for high-risk patients, transcatheter replacement (TAVI).
Rheumatic Heart Disease
Major Burden in India
Rheumatic heart disease results from childhood streptococcal infections causing lasting valve damage — most commonly affecting the mitral valve. Dr. Ved Prakash performs rheumatic valve surgery regularly with extensive experience in its specific anatomical challenges.
Infective Endocarditis
Valve Infection
A serious bacterial infection of the heart valve requiring urgent surgical intervention when the infection is destroying valve tissue, causing emboli, or not responding to antibiotics.
Tricuspid Valve Disease
Secondary Valve Involvement
Most commonly secondary to left-sided valve disease. Dr. Ved Prakash assesses whether tricuspid repair is required during the primary operation — a decision that significantly affects long-term right heart function.
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Treatment Options
Valve Repair vs. Valve Replacement — Understanding the Difference
STEP 01
Valve Repair
The diseased valve is reconstructed using the patient's own tissue — no prosthetic valve implanted. Avoids lifelong blood thinners and delivers the best durability. Preferred in every suitable case.
STEP 02
Mechanical Valve Replacement
A durable metal valve that lasts a lifetime but requires lifelong anticoagulation (warfarin). Best suited for younger patients who can reliably manage long-term medication.
STEP 03
Biological Valve Replacement
A natural tissue valve that does not require blood thinners in most patients. Wears out over 15–20 years — more suitable for older patients or those who cannot safely take warfarin.
Expert Valve Surgery in Delhi NCR
Dr. Ved Prakash brings a specific focus on valve repair-first surgery developed over more than 8 years at Medanta Hospital, Narayana Super Speciality Hospitals, and Sarvodaya Healthcare. He performs detailed pre-operative planning using 3D echocardiography, reviews every case with the cardiac anaesthesia team, and uses intraoperative echo to confirm repair success before closing the chest.
His commitment to repair-over-replacement means patients are spared lifelong anticoagulation wherever surgically possible — a decision that meaningfully improves quality of life after surgery.
Patient Questions Answered
Frequently Asked Questions — Heart Valve Surgery
Can heart valve disease be managed without surgery?
Medication manages symptoms — it cannot fix a structurally damaged valve. Most patients with moderate-to-severe valve disease will eventually need surgical or catheter-based intervention. Earlier surgery, before the heart muscle is significantly weakened, generally produces better recovery.
How long is recovery after valve surgery?
Most patients are discharged 7–10 days after surgery. Light activity resumes within 6 weeks; full recovery typically takes 2–3 months depending on age and fitness level.
Is mitral valve repair always possible?
Not in every case. The feasibility of repair depends on the specific anatomy of the diseased valve — assessed via detailed echocardiography before surgery and confirmed visually during the operation. Dr. Ved Prakash aims for repair in every suitable case.
Will blood thinners be needed for life?
Only for mechanical valve recipients. Biological valve recipients and patients who undergo valve repair generally do not require lifelong anticoagulation, though individual circumstances vary.
Can valve surgery be performed minimally invasively?
Yes, in selected cases. Minimally invasive valve surgery through a smaller right-side incision is an option for suitable anatomy — Dr. Ved Prakash assesses each patient for this during consultation.
Get a Clear Answer on Your Valve Condition
If an echocardiogram has shown a valve problem — or if a murmur has been detected — I can review your reports and give you a clear, honest assessment of what it means and what should happen next.
📞 +91-9355255106
✉ drvedprakash@gmail.com
📍 Yatharth Super Speciality Hospital, Omega-I, Plot No. 32, Greater Noida