Aortic
Severe aortic
stenosis
Severe aortic
stenosisA calcified, narrowed valve causing breathlessness, angina or blackouts. The commonest reason for TAVI.
Structural heart & valve care
Modern catheter-based valve procedures offer a less invasive alternative to traditional open-heart surgery for carefully selected patients. Depending on the type and severity of valve disease, a specialist may repair or replace the affected valve using a thin catheter inserted through a blood vessel, commonly through the groin.
Conditions we treat
From calcific disease in older patients to rheumatic disease in young adults.
Severe aortic
stenosisA calcified, narrowed valve causing breathlessness, angina or blackouts. The commonest reason for TAVI.
Aortic regurgitationA leaking aortic valve that volume-loads and gradually enlarges the left ventricle.
Mitral regurgitationPrimary or functional mitral leak — the main indication for MitraClip edge-to-edge repair.
Rheumatic mitral stenosisPost-rheumatic narrowing, still common in India and highly treatable with balloon valvuloplasty.
Tricuspid regurgitationRight-sided leak causing leg and abdominal swelling, often alongside atrial fibrillation.
Pulmonary stenosisUsually congenital narrowing, opened with balloon dilatation of the pulmonary valve.
Four valves, four failures
Scroll the panels and the image follows. Each valve fails differently, and each has its own catheter fix.
Most common after age 65
Calcium builds on the leaflets until the valve cannot open fully — aortic stenosis. When it fails to shut instead, blood leaks backwards. Medicines cannot reopen a calcified valve; it has to be replaced.
Leaks in the elderly, rheumatic in the young
When the two leaflets stop meeting, the valve leaks and pushes blood back into the lungs. In India childhood rheumatic fever often scars and narrows this valve instead, affecting people in their thirties.
The one most often overlooked
It usually leaks because of something else — long-standing mitral disease, atrial fibrillation or a pacemaker lead. The symptoms are swelling rather than chest pain, so it gets missed for years.
Usually present from birth
Narrowing here is generally congenital and may surface in childhood or on an unrelated scan much later. It responds very well to balloon dilatation, among the lowest-risk catheter procedures in cardiology.
What we offer
Each goes through a small puncture in a blood vessel. Most patients are awake, and home in one to two days.
TAVI /
TAVRA new valve is guided through the leg artery and expanded inside the diseased one. Gold standard for severe aortic stenosis.
Check Eligibility
MitraClip (TEER)A small clip is placed across the mitral leaflets so they close together, cutting the leak. No chest incision.
Discuss MitraClip
Balloon valvuloplastyBallooning a narrowed mitral, aortic or pulmonary valve. 50+ BMV cases performed to date.
Ask About This
TMVR & TTVRMitral and tricuspid valve replacement by catheter for patients suited to neither a clip nor open surgery.
Request Review
Valve-in-valveWhen an earlier valve wears out, a new one goes inside it by catheter — avoiding a second open operation.
Review My Valve
Device & LAA closureClosing heart holes and the left atrial appendage without surgery — often relevant for valve patients in AF.
Book a ReviewSecond opinion
Many patients told surgery was their only option turn out to be candidates for TAVI, MitraClip or valvuloplasty. Have your imaging reviewed first.
Severe chest pain or fainting? Go to the nearest emergency department.
Your specialist
HOD – Structural Heart Interventions, Manipal Hospital, Jaipur
Dr. Amit Gupta trained in cardiology at G. B. Pant Hospital, New Delhi, then spent a full year abroad in a dedicated structural heart fellowship at John Hunter Hospital, Australia — working on TAVI, MitraClip and complex tricuspid and valve-in-valve cases.
That distinction matters. Structural heart intervention is a sub-specialty of its own: sizing a valve from a CT scan, judging whether leaflets will clip well, and knowing when not to intervene are skills built through case volume at high-output valve centres.
Where the training came from
Valve intervention is learned where it is done in volume.
मरीज़ों के लिए
अगर इको रिपोर्ट में वाल्व सिकुड़ा (stenosis) या लीक (regurgitation) बताया गया है, तो सीने की हड्डी काटे बिना भी इलाज संभव है।
Making the decision
Both are valid and both are available in Jaipur. Which suits you depends on age, surgical risk and valve anatomy.
| What you want to know | TAVI (catheter) | Open surgery (AVR) |
|---|---|---|
| Chest incision | None — via the leg artery | Sternotomy: the breastbone is opened |
| Heart-lung machine | Not required | Required; the heart is stopped |
| Anaesthesia | Usually awake with sedation | General anaesthesia |
| Procedure time | About 1–2 hours | Commonly 3–5 hours |
| Hospital stay | Often 1–2 days | About a week, including ICU |
| Back to routine | Days to a few weeks | Weeks to months of sternal healing |
| Best suited to | Older or higher-risk patients, previous bypass, weak pumping, kidney or lung disease | Younger, low-risk patients, or anatomy unsuitable for a transcatheter valve |
| Durability evidence | Most valves good beyond six years; longer data still accumulating | Decades of long-term follow-up data |
| If it wears out later | Valve-in-valve, again by catheter | Redo operation, or a valve-in-valve |
General guidance only. Your route is decided after an echo, CT angiography and a heart-team discussion.
What happens next
History, examination for a murmur, and a review of the reports you already have.
2D echo with Doppler identifies the valve and grades how severe it is.
CT angiography sizes the valve and maps access. A TOE is added before a clip.
Cardiologist, surgeon and imaging specialist agree the safest route together.
Done at Manipal Hospital, home in 1–2 days, valve check at one month.
60-second self-check
Tap every symptom that applies. An awareness tool, not a diagnosis.
Only an echocardiogram can confirm it. This check tells you whether it is worth booking one.
Tap any symptom that applies to you or the person you are booking for.
All in one visit
Most valve questions are answered by an echocardiogram on the same visit.
The definitive valve test
Rhythm and chamber strain
Valve behaviour on effort
Checks the arteries first
Sizes the valve and route
24-hour monitoring
In the doctor's own words
Patient experience
Excellent serving Doctor. Honest, dedicated and very attentive towards their patient. For my 14-year-old son, he acted as a god in saving his life. I recommend him as the best cardiologist in the city.
Dr Amit Gupta is one of the best cardiologists in Jaipur. He is such a humble person and has great knowledge. It was a privilege to be treated by him as I am perfectly fine after his treatment.
My mother has some heart-related problems. I visited many doctors but after meeting Doctor Amit my search ended at Safe Heart. Very kind and helpful, immense knowledge. So thankful to Team Safe Heart.
Thanks for your good care and concern. Your manner put all patients at ease and helped them gain confidence. You are truly a remarkable doctor and professional that we respect and trust.
A very humble and honest cardiologist. For all my known patients I completely rely on him for best care. God bless him and his family. Highly recommended for holistic cardiology care.
Find us
Consultations in Vidyadhar Nagar, procedures at Manipal Hospital.
Consultation · Echo · ECG
Valve procedures · Cath lab
Appointments
Send your details and the clinic will confirm a slot. Valve decisions are made from images, so bring your reports.
Opens WhatsApp with your details filled in.
Answers
Dr. Amit Gupta is a Structural and Interventional Cardiologist in Jaipur who focuses specifically on heart valve disease. He is HOD – Structural Heart Interventions at Manipal Hospital, holds DM Cardiology from G. B. Pant Hospital, New Delhi, and completed a one-year structural heart fellowship at John Hunter Hospital, Australia.
When comparing valve specialists anywhere in India, ask the same four questions:
A heart valve specialist — more precisely a structural heart interventionist — is a cardiologist with extra fellowship training in repairing and replacing valves through a catheter rather than by opening the chest.
A general cardiologist diagnoses valve disease and manages medication. A cardiac surgeon replaces valves by open surgery. The structural specialist sits between them: performing TAVI, MitraClip, valvuloplasty and valve-in-valve, and deciding who is suitable for them.
Yes. TAVI replaces a narrowed aortic valve through a small puncture in the leg artery. There is no chest incision, the breastbone is not cut, and the heart-lung machine is not used.
The valve is compressed onto a thin catheter, guided to the heart, then expanded inside the old one. Most patients are awake with sedation, the procedure takes one to two hours, and most go home within one to two days.
For the mitral valve, a leak can often be repaired with a MitraClip and a narrowed valve opened with balloon valvuloplasty — both by catheter.
Breathlessness on exertion, unusual fatigue, chest tightness, palpitations, ankle swelling, and dizziness or fainting.
Because they come on gradually, they get blamed on age or weight. That is the central problem: the body compensates quietly until the valve is already severe. Two findings should always prompt an echo — a heart murmur, and an unexplained drop in exercise capacity.
A 2D echocardiogram with colour Doppler is the main test. It shows which valve is affected, whether it is narrowed or leaking, how severe it is, and how well the heart pumps.
Depending on the findings, these may be added:
Age by itself does not disqualify anyone. TAVI and MitraClip were developed precisely for patients considered too high-risk for open surgery — including people in their seventies, eighties and nineties.
A catheter route is often better when there is previous bypass surgery, weak pumping, chronic kidney disease, COPD, frailty, or a chest that would be risky to reopen. Suitability is settled by anatomy on the CT and echo plus the heart team's assessment.
TAVI usually takes about one to two hours, occasionally longer in complex anatomy. Most patients are awake and sedated with local anaesthesia at the access site.
You will be asked not to eat or drink for four to six hours beforehand. Most patients are discharged within one to two days, though this varies with overall condition.
Long-term data is still accumulating because TAVI is newer than surgical valves. For most patients the valve remains in good working condition beyond six years, and design keeps improving.
If it does degenerate later, a second valve can often be implanted inside it — a valve-in-valve procedure. You can protect valve life by taking medicines reliably, keeping teeth and gums healthy, staying active and not smoking.
MitraClip is a transcatheter edge-to-edge repair (TEER). A small clip is delivered through a vein in the groin and placed on the mitral leaflets so they meet properly when the valve closes, reducing the leak.
It is done in the cath lab under anaesthesia with an interventional cardiologist, an interventional echocardiographer and an anaesthetist working together. It takes two to three hours, needs no chest incision, and many patients notice breathlessness improve almost immediately.
Very much so. Rheumatic heart disease remains common in India, and its classic result is a scarred, narrowed mitral valve in adults in their thirties and forties.
Balloon mitral valvuloplasty (BMV) opens that valve with a balloon passed through a catheter. In suitable anatomy the results are excellent and long-lasting. Dr. Amit Gupta has performed 50+ BMV cases alongside aortic and pulmonary ballooning.
No. Mild and moderate valve disease is usually monitored — a yearly echo, blood-pressure control, dental hygiene to prevent endocarditis, and sensible activity.
A procedure becomes appropriate when the valve becomes severe, when symptoms develop, or when the echo shows chambers enlarging or pumping function falling. Timing is a clinical judgement, which is why regular follow-up matters more than any single scan.
Once severe aortic stenosis starts causing symptoms, the outlook worsens markedly without treatment. No medicine can reopen a calcified valve; tablets only ease symptoms while the narrowing continues.
That is why assessment should not be postponed once symptoms appear. Valve replacement, by TAVI or surgery, is the definitive treatment. For severe chest pain, sudden breathlessness or fainting, go to the nearest hospital immediately.
Cost depends on which valve is involved, which device is used, the hospital category and the room type — so any figure quoted before your echo and CT are reviewed would be misleading. The clinic provides a written estimate once the plan is set.
Most valve procedures at Manipal Hospital are covered under cashless health insurance, and several government schemes apply. Pre-authorisation is arranged before admission. Bring your policy card and previous claim details.
Yes, and for valve disease it is worth doing. Share your echo, CT scan, angiography report and medication list, and Dr. Amit Gupta will review whether TAVI, MitraClip, valvuloplasty or valve-in-valve suits your anatomy.
A second opinion does not delay urgent treatment; it clarifies which route is safest. Send reports to +91 85279 56826 before travelling — useful for families coming from Sikar, Jhunjhunu, Alwar or Kota.
Most patients walk within a day and go home in one to two days. Recovery is gradual:
Dental check-ups matter more than most people expect: mouth bacteria are a leading cause of valve infection.
Consultations and echocardiography — Safe Heart Clinic, House No. 85, near Green Gate English School, Sector 2, Sector 7, Vidyadhar Nagar, Jaipur 302039. Monday to Saturday, 8:30–9:00 AM and 6:00–8:30 PM.
Valve procedures — Manipal Hospital, Jaipur, Monday to Saturday, 10:00 AM to 4:00 PM.
Appointments on +91 85279 56826 or adg_sms_dr@yahoo.com. Consultations in English and Hindi.
