First Emergency TAVR Using Aortic Ultrasound in India: A Major Milestone in Cardiac Care

In a pioneering medical breakthrough, Dr. AB Gopalamurugan and his team at MGM Healthcare Malar Adyar performed India’s first emergency Transcatheter Aortic Valve Replacement (TAVR) using Aortic Ultrasound (AVUS). The procedure, conducted on a critically ill 70-year-old, sets a new benchmark in cardiac care by enhancing patient outcomes and reducing mortality risks.

In a groundbreaking medical procedure, Dr. AB Gopalamurugan and the advanced 24/7 heart failure department at MGM Healthcare Malar Adyar have successfully performed the first Emergency Transcatheter Aortic Valve Replacement (TAVR) with Aortic Ultrasound (AVUS) in India. This innovative procedure was performed on a 70-year-old patient in cardiogenic shock due to critical aortic stenosis and severe left ventricular dysfunction.

The patient, who arrived at the Emergency Room in crashing cardiogenic shock and pulmonary edema, was facing an admission mortality rate of 50%. An echocardiogram revealed an ejection fraction (LVEF) of just 20%, alongside critical aortic valve stenosis and mitral regurgitation. A traditional cardiac CT scan was unfeasible due to the patient's deteriorating condition, necessitating an alternative approach.

Dr. AB Gopalamurugan, Senior Consultant - Interventional Cardiology and Electrophysiology Director - TAVR and Endovascular Therapy Director, leveraged Aortic Ultrasound (AVUS) technology to guide the valve replacement. The technology provided real-time, high-resolution imaging, mitigating risks associated with contrast use, like kidney damage. Remarkably, the life-saving procedure was performed under local anesthesia, immediately stabilizing the patient. In just 48 hours, the patient was discharged with her mortality risk drastically reduced from 50% to 1%. This intervention showcases the efficacy of AVUS in emergency cardiac care, marking a significant milestone in Indian medical history.

(With inputs from agencies.)