Breakthrough TAVI Procedure for Bicuspid Valve at Durdans Heart Centre


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Durdans Heart Centre recently concluded a breakthrough minimally invasive Transcatheter
Arterial Valve Implantation (TAVI) on a patient with bicuspid valve.
Bicuspid valves, a birth anomaly (two leaflets instead of the normal three), quickly leads to
narrowing of the valve. The valve replacement was performed using a self-expanding Medtronic
Evolut™ R self-expanding trans-catheter aortic heart valve. This is the first case in Sri Lanka
where a bicuspid valve has been treated using a transcatheter aortic valve.
At the time of the procedure the patient Mr Robin Sathasiwam’s heart function was low after
the heart attack and the aortic valve was severely malfunctioning with weakened electrical
conduction of the heart. Waiting any longer without intervention would mean open heart
surgery for which he would be a high risk candidate.
After comprehensive analysis by Dr Pandula Athaudaarachchi on May 14 th 2019, the procedure
was undertaken by him in the state of the art catheterisation laboratory at Durdans Hospital.
Patient was awake with only local anaesthesia (LA). The equipment was navigated to the heart,
the abnormal valve stretched open with a balloon and the artificial valve placed above the level
of the valve to control the blood flow from the body.
The procedure lasted no more than 90 minutes. No complications were experienced and the
functioning of the valve was excellent. The patient was able to walk 24 hours later and was
discharged from the hospital three days later.
Mr Robin Sathasivam said, “Since my operation, my breathing has become much easier and I
feel more energetic. Obviously, it is still too soon to give any further observations or health
improvements. I commend Dr Pandula for his pioneering vision and Durdans Heart Centre for
bringing this modern-day heart technology to Sri Lanka, the TAVI Cardiac technology and
procedure that he has practiced in the UK. It will help numerous people and ease a lot of

suffering, pain and anguish for patients and their families- not to mention post-surgery anxiety
and trauma.”

In the same session. Dr Athaudaarachchi implanted a balloon expandable aortic valve (different
type) under local anesthetic on an 80 year old with multiple medical conditions seeing
complete success. The first minimally invasive procedure in our hospital was performed by the
same cardiologist back in September 2018 making Durdans Hospital the first cardiac unit in the
country to have implanted two different types of percutaneous aortic valves under local
anesthetic with complete success and no complications.

For Durdans Heart Centre Channelling contact on 011 2 140 205

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