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Aster Advanced Heart Valve Centre

Aster Advanced Heart Valve Centre is a dedicated department operating under Aster Cardiac Sciences. It specializes in the evaluation, diagnosis, and treatment of the entire spectrum of heart valve disorders. Heart valves are essential structures in the heart that regulate blood flow, and problems with these valves can lead to various heart conditions, including heart failure.

This one-of-a-kind heart valve centre offers a comprehensive range of services to patients with heart valve disease. For a proper diagnosis and decision on the right course of treatment, the best imaging facility is crucial. We have the most advanced echocardiographic machine Vivid E95 with 3D transesophageal echo and intracardiac echo (ICE) which help proper evaluation of valve disease and fine tune procedures. These complex interventions are done in a “Hybrid Cath Lab” which can also act as a surgical theatre if the need arises.

The centre is well-equipped to provide a range of treatment options, such as medication, minimally invasive procedures like balloon valvuloplasty, and surgical procedures such as valve repair or replacement. This centre comprises of

  • Heart Valve Clinic
  • State-of-the-art imaging facilities
  • Collaborative services such as ECMO, Heart Failure Clinic
  • Non-cardiology support from Vascular and General Surgery, Neurology, Nephrology, Infection Control, Stroke and Elderly care, Psychiatric care
  • Multidisciplinary Heart Team (Mitral, Aortic and Aortic Valve, Endocarditis)

Valvular Heart Diseases - An Overview

Valvular heart diseases are a common health problem in India, particularly among older adults. Many are unaware they have the condition or are told that they have symptoms during a routine check-up. According to a study published in the Indian Journal of Medical Research, the prevalence of rheumatic heart disease, which is a common cause of valvular heart disease, is estimated to be around 1.2 per 1,000 population in India.
In addition to rheumatic heart disease, other causes of valvular heart disease include degenerative valve disease, infective endocarditis, and congenital heart disease. Other risk factors for valvular heart disease such as hypertension, diabetes, and obesity are also becoming increasingly prevalent in India, which may contribute to the overall burden of valvular heart disease in the country.
Good thing is that there have been rapid advances in the treatment of heart valve disease in the past decade. Till recently treatment of valve disease beyond medical management was mostly surgical with its attendant morbidity. Now non-surgical interventional treatment modalities offer much less invasive options such as TAVI/TAVR, Mitra Clip, TMVR, etc.


  • Non-surgical Valve Repair and Replacement
    • Valve Repar and Replacement
    • Transcatheter Aortic Valve Replacement / Implantation (TAVR / TAVI)
    • Root and ascending aortic replacement
    • Mitral and tricuspid repair
    • TMVR
    • TriClip
    • Paravalvular leak (PVL) closure
    • Balloon mitral valvotomy
  • Surgical procedures
    • Root and ascending aortic replacement
    • Mitral, edge-to-edge repair
    • Aortic valve repair
    • Ross procedure or Pulmonary autograft
    • Minimal / Open Heart Valve Repairs and Replacement

    Treatments & Procedures

    We provide comprehensive treatment for all types diseases under one roof. Our highly experienced doctors supported by especially trained clinical staff, ensure the best care for you.

    Advanced Technology & Facilities

    Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.

    Inpatient Facilities

    Aster Medcity offers world-class inpatient care to its patients, with the support of an award-winning team of Nurses, Therapists and Technicians. Wards, double rooms, standard rooms, executive rooms, deluxe rooms presidential suites Dedicated Cardiac ICU Independent ICUs with a view that minimise chances of infection and ICU psychosis Dedicated cardiac surgery suites Advanced infection control facilities State-of-the-art cardiac imaging

    World-Class Technology

    Aster Centre of Excellence in Cardiac Sciences is first facility in Kerala to offer three cathlabs with a state-of-the-art electrophysiology lab / intravascular ultrasound, fractional flow reserve estimate and rotablation. The comprehensive range of medical technology here includes: Flat panel hybrid vascular biplane cathlab Low radiation CLARITY cathlab OR1 Karl Storz Fusion Integrated C Green OT certified surgical suites with autopilot anaesthesia and live sharing facility Philips IntelliSpace Critical Care & Anaesthesia digital ICU ECMO (Extra Corporeal Membrane Oxygenation) Philips EPIQ Echocardiography machines for 2D and live 3D imaging Trans-Oesophageal Echocardiography with Doppler, Colour Doppler modalities Dobutamine stress test for physically disabled patients Intra-operative trans-oesophageal ECHO / Doppler / Colour-flow Doppler Philips 256 Slice iCT scan Wide Bore 3.0 Tesla MRI cardiac studies Philips Astonish True Flight Select PET-CT with Time Of Flight technology GE SPECT-CT Optima NM 640 Gamma Camera

    Outpatient Services

    The Centre of Excellence in Cardiac Sciences at Aster Medcity offers a wide range of outpatient services for detection and treatment of complex heart diseases and disorders. This includes: Cardiac structural/functional evaluation including advanced imaging Heart Failure Clinic Cardiac Electrophysiology Clinic 2D / Live 3D Echocardiography Colour Doppler imaging Tissue Doppler imaging Strain Quantification Trans-Esophageal Echocardiography including live 3D TEE 24-hour ambulatory blood pressure monitoring 24-hour ECG monitoring (Holter monitoring) Cardiac stress tests including Tread Mill Test, Dobutamine Stress Echocardiography, Head Up Tilt Test (HUTT)

    Operation Theatres

    ORI Fusion Digital Integrated Operation Theatres With 22 Operating Rooms that are on par with some of the largest in the world, Aster Medcity, for the first time South India, introduces ORI Fusion Digital Integrated Operation Theatres using Karlstorz OR1 Fusion - Asia Pacific’s first complete digital integration system.
    The integration enables real-time sharing of images, videos and medical reports, which not only facilitates virtual participation from any location in the world but also helps the rest of the surgical team to monitor the patient closely during the operative procedure, much to the benefit and safety of the patient undergoing the surgery.
    Aster Medcity is also the first surgical facility in the state to offer Robotic Surgery using a high-precision da Vinci Surgery Robot.


    Advanced Features
    • PACS, HIS, and video recording integrated for single monitor control by Surgeons
    • Each Operating Room has 3 cameras and 6 monitors for Doctors to monitor patient parameters and the surgical procedures
    • Operative procedures can be transmitted live to various locations within and outside the Hospital
    • Facilities for interactive sessions during operation through live transmission of the procedure
    • Doctors can join the Surgical team and monitor the patient from any location outside the hospital
    • Da Vinci Surgical Robot for performing minimally invasive Robotic Surgery
    • State-of-the-art engineering techniques to maintain positive pressure within operating rooms along with heap filters to reduce infections
    • Individual air handling unit for each Operating Room
    • Equipped with Isocentric C Arm
    • Advanced facilities to monitor including depth of Anaesthesia, Neuromuscular Monitoring, Transcranial Doppler and 3D Echocardiogram
    • High-end Anaesthesia workstation with precision delivery of Anaesthetic gases
    • Autopilot facility Anaesthesia machines
    • Capability to export information to all ICUs within the hospital
    • Induction bay with facilities for parents to be with children during induction of Anaesthesia
    • As all Operating Rooms here are approximate of the same size, they can accommodate a variety of equipment- surgical, as well as those for ensuring the safety and protection of the patient
    • Stringent Infection Control measures followed under the surveillance of experienced Doctors
    Anesthesia Team
    • Perioperative anesthetic care
    • Anesthesia for solid organ transplant
    • Invasive monitoring of deep hypothermic circulatory arrest and associated techniques
    • Anesthetic support for SSEP and MEP
    • Anesthesia for infants, neonates, and children
    • Anesthesia for craniofacial reconstructive and cosmetic surgery
    • Labor analgesia and obstetric Anaesthesia
    • Regional anesthetic techniques with ultrasound and PNS
    • Transesophageal echocardiography
    • Fiber optic bronchoscopy
    • Difficult intubation maneuvers
    • Intar aortic balloon support
    • Inotropes vasodilators and vasopressors
    • ECMO and LVAD assistance
    • Neuro monitoring: BIS, NIRS, neuromuscular monitoring, TCD
    • Special anesthetic techniques for awake craniotomies
    • Blood conservative measures
    Seamless Team Work

    The ORI Fusion Digital Integration system in the Operating Rooms helps create a workflow that’s seamless by enabling virtual participation of Doctors in the procedure, from whichever part of the world they are in at that point in time. As all medical reports and image modalities including the operation procedure can be transmitted live to any location inside or outside the hospital, Doctors can become a part of the Surgery Team on a real-time basis, wherein they can interact with Surgeons in the OR, closely monitor the procedure as well as patient parameters and contribute their expert suggestions.

    • Karl Storz OR1 Fusion Technology
    • Single monitor control enabled through integration of PAC, HIS & Video Recording
    • Live to share all image modalities & medical reports
    • 3 cameras and 6 monitors in every OR.
    Waiting Lounge

    Aster Medcity understands that the time of surgery is stressful for the family of the Patient as well, which is why the bystander’s waiting lounge has been designed in such a way that it provides a calming, comforting ambiance

    Scenic view of the backwaters from the visitor's lounge, Recliner Chairs, Cafeteria

    Guest Relation Team who updates the bystanders on patient’s progress at regular intervals and ensures a warm, hospitable atmosphere.



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