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A 77-year-old woman diagnosed with severe aortic valve stenosis, presented a complex case that challenged conventional treatment approaches. Suffering from debilitating symptoms and facing high surgical risks due to acute kidney injury and uncontrolled diabetes mellitus, she sought a solution to improve her quality of life.


Having visited multiple hospitals without finding a viable solution, She  struggled with limited mobility and recurrent breathlessness. Her deteriorating heart condition, coupled with additional health complications, necessitated a carefully considered and innovative approach to address her unique medical challenges.

Challenges Faced:

The narrow annulus presented a significant obstacle, rendering the suggested Trans-catheter Aortic Valve Implantation (TAVI) infeasible. Traditional open-heart surgery carried excessive risks due to her frail health condition, necessitating a more nuanced and less invasive solution.

Proposed Solution:

Under the expert guidance of Dr. Sathyaki Nambala, Chief Cardiac Surgeon, the medical team recommended a minimally invasive surgery using a sutureless valve implantation technique. This approach aimed to mitigate the risks associated with traditional procedures while addressing the specific challenges posed by Her condition.


The surgery, performed with precision and expertise, involved the meticulous application of minimally invasive techniques and the deployment of a sutureless valve. Dr. Sathyaki Nambala’s team navigated the complexities of the procedure, ensuring a tailored approach that prioritized patient safety and optimal outcomes.


Post-surgery, The women exhibited a remarkable recovery. Discharged on the fourth day, her kidney function fully recovered, and she became entirely asymptomatic during the first follow-up. This extraordinary improvement in her health and quality of life demonstrated the effectiveness of the minimally invasive approach.

Post-Operative Care:

The Women received comprehensive post-operative care, including scheduled follow-up appointments to monitor her ongoing progress. The success of the procedure was a testament to the meticulous care provided by the medical team throughout her recovery.


This case exemplifies the transformative impact of the Minimally Invasive Cardiac Surgery and Robotic Heart Surgery program by Dr. Sathyaki Nambala and his team’s commitment to innovation and patient-centered care resulted in an exceptional outcome for her.

About MICSheart:

MICSheart, the Minimally Invasive Cardiac Surgery and Robotic Heart Surgery program, stands as a pioneer in cardiac care. With over 15 years of experience and more than 3000 procedures, MICSheart has established itself as the largest minimally invasive cardiac surgery program and the sole qualified robotic heart surgery program in the country. Renowned for its commitment to patient satisfaction, independence, and well-being, MICSheart continues to set the benchmark in cardiac surgery techniques. Our training fellowships attract global surgeons, contributing to the program’s recognition in scientific forums worldwide. MICSheart: Redefining cardiac care with innovation and excellence.

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