For the first time, Vietnam performed valve replacement in the treatment of severe heart failure.

In the body, the aortic valve (heart valve) has 3 leaflets that help open and close, ensuring blood flow in one direction rhythmically. When the valve is narrowed or leaky, it affects circulatory function, heart function and leads to rapid heart failure.

The aforementioned patient underwent transcatheter aortic valve replacement (TAVR) in 2014 due to severe aortic stenosis on a background of bicuspid aortic valve degeneration. During this hospitalization, the doctors determined that a repeat valve replacement was mandatory. The patient's condition did not allow for open-heart surgery; therefore, a repeat valve replacement via valve-in-valve catheter was the optimal treatment option.

Lần đầu tiên Việt Nam thực hiện thay van trong van điều trị suy tim nặng - Ảnh 1. — Vietnamese cardiologists have successfully performed aortic valve replacement surgery. This is the first time this technique has been performed in the country.

To perform this difficult case, interventional cardiologists, anesthesiologists, resuscitators, echocardiographers, surgeons, etc. agreed on a plan, process and performed the procedure.

An 82-year-old patient underwent valve replacement via catheter on the morning of October 18. Doctors at the Vietnam Heart Institute used the balloon-based valve that was placed in the self-expanding valve the previous time. The Institute's surgical team successfully performed the procedure within 30 minutes from the femoral puncture to bring the catheter to the heart valve that needed to be replaced. During the procedure, the patient only needed to be sedated and woke up immediately after the procedure. Hemodynamic parameters were significantly improved after the procedure.

This was the first valve-in-valve replacement surgery in Vietnam, one of the most advanced techniques in cardiovascular intervention for treating valvular heart disease.

Transcatheter aortic valve replacement is a superior solution for elderly patients with aortic valve stenosis. This technique has many outstanding advantages, no open heart surgery, no anesthesia, quick patient recovery...

According to the Vietnam Heart Institute, aortic valve degeneration is increasingly common with increasing age and increased cardiovascular risk factors. In developed countries, it is estimated that about 1-3% of people over 75 years old have aortic valve disease of varying degrees. Previously, severe heart valve disease required open heart surgery to replace and repair the valve. However, in severe cases and in old age, the risk during surgery is very high and in many cases surgery is not possible.

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