Minimally invasive cardiac valve replacement saves patient with complex condition
Chandigarh, December 4, 2025: In a significant medical breakthrough, Fortis Hospital Mohali has successfully performed its first Transcatheter Pulmonary Valve Replacement (TPVR) on a 31-year-old male patient suffering from a complex congenital cardiac condition. This marks one of the first such procedures conducted by a private hospital in North India outside the Delhi-NCR region.
The patient was admitted with severe symptoms, including shortness of breath, dizziness, and right-sided heart failure. Medical evaluation revealed dilation and dysfunction of the right atrium and right ventricle, leading to acute breathlessness, generalized swelling, liver enlargement, and early liver failure—conditions that posed a significant risk to the patient’s long-term survival.
According to doctors, the patient had undergone intracardiac repair as a child for a congenital defect, during which a pulmonary valve was implanted to regulate blood flow from the right heart to the lungs. Over time, the valve deteriorated, prompting a second valve replacement at a leading New Delhi hospital. The second valve also failed, resulting in advanced complications.
With open-heart surgery deemed highly risky, the cardiac team opted for the minimally invasive Transcatheter Pulmonary Valve Replacement approach. During the procedure, a sheath was inserted through the groin vein, enabling the medical team—led by Dr. R.K. Jaswal, Head of Department and Director of Cardiology and Director – Cathlabs—to navigate and deploy a new valve at the junction of the right heart and the main pulmonary artery. The procedure was completed successfully, and the patient was discharged the very next day.
Explaining the process, Dr. Jaswal said, “Transcatheter Pulmonary Valve Replacement (TPVR) is a minimally invasive procedure used to replace a faulty pulmonary valve using a catheter inserted through a vein in the leg or chest, eliminating the need for an open-heart surgery. When the pulmonary valve becomes dysfunctional, the right heart fails, and blood flow to the lungs is compromised. This affects the entire body. TPVR avoids major cuts or surgery, and recovery is fast—patients are usually able to go home within 24 hours.”
He added that Fortis Hospital Mohali has built strong capabilities in cardiac sciences, positioning itself as a Centre of Excellence in the region.
The successful completion of this TPVR procedure highlights Fortis Mohali’s expanding expertise in advanced, minimally invasive cardiac interventions and its growing role in treating complex congenital heart conditions.
