At Medicover Hospitals in Secunderabad, a 72-year-old woman, who was once hospitalized with acute heart failure, made a miraculous recovery without undergoing open-heart surgery.
The patient had been experiencing shortness of breath, severe fatigue, and decreased physical activity for several months. Like many elderly people, she initially attributed her symptoms to old age. However, her condition worsened, and she had to be urgently hospitalized.
Medicover Clinical Evaluation
A comprehensive heart examination revealed severe mitral valve regurgitation (mitral valve leak). This is a condition in which the heart's mitral valve does not close properly, causing blood to flow backward, putting pressure on the heart.
Heart valve disease affects 1 in 10 people over the age of 65 in India. Unfortunately, symptoms such as shortness of breath and fatigue are often ignored until the condition becomes critical. Given her age and frail clinical condition, traditional open-heart surgery carries significant risk.
Multidisciplinary Heart Team Approach
The case was evaluated by a dedicated heart team, comprising:
- Interventional Cardiologists
- Cardiac Surgeons
- Structural Heart Specialists
- Advanced Cardiac Imaging Experts
- Cardiac Anaesthetists
- Heart Failure Specialists
After a detailed assessment and review of imaging, the team determined that a minimally invasive, catheter-based structural heart intervention was the safest and most effective option.
Advanced Minimally Invasive Valve Treatment at Medicover Hospitals
The minimally invasive valve treatment procedure was led by:
- Dr Pramod Kumar Kuchulakanti, Chief of Cardiology, Director of Structural Heart & Advanced Coronary Interventions
- Dr Sagar Chandrashekhar Bhuyar, Senior Consultant Cardiologist
- Dr. N. Siva Prasad Naidu, Consultant Interventional Cardiologist
- Dr. Amrendra Kumar Singh, Senior Consultant Cardio-thoracic and Vascular Surgeon
- Dr Parvatraj Varun Gautam, Consultant Cardiothoracic Surgeon
- Dr Subramanyam
Using high-definition cardiac imaging and precision-guided catheter techniques, the team successfully reduced the mitral valve leak without opening the chest.
This advanced structural heart intervention resulted in:
- A significant reduction in valve regurgitation
- Improved cardiac function
- Rapid symptom relief
- Shorter hospital stay
- Faster recovery compared to open-heart surgery
Patient recovery
The patient saw significant improvement in her breathing and energy levels within days. She is now stable, walking, and has resumed her daily activities with an improved quality of life.
Expert Insight
Dr. Pramod Kumar Kuchulakanti said:
"Heart valve disease in elderly patients is frequently underdiagnosed because symptoms such as breathlessness and fatigue are mistaken for normal ageing. With structured Heart Team discussions and advanced transcatheter therapies, we can safely treat complex valve conditions even in patients above 70 years. These techniques significantly improve quality of life while reducing recovery time and hospital stay."
Why This Case is Improtant?
Elderly patients with severe valve disease are often considered high risk for surgery. However, with structured heart team evaluation and modern transcatheter therapies, even complex valve conditions can now be treated safely.
This success reflects:
- Expertise in advanced structural heart interventions
- Multidisciplinary cardiac coordination
- Precision imaging-based treatment planning
- Commitment to minimally invasive solutions for high-risk patients
At Medicover Hospitals, Secunderabad, advanced cardiac care is transforming outcomes, enabling elderly patients to recover safely without the trauma of open-heart surgery.
Contributors
Dr Pramod Kumar Kuchulakanti
Chief of Cardiology, Director of Structural Heart & Advanced Coronary Interventions

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