Gujarat’s First Transcatheter Tricuspid Valve Replacement Successfully Performed

In a powerful story where medical science meets humanity, Marengo CIMS Hospital has created history by successfully performing Gujarat’s first Trans catheter Tricuspid Valve Replacement (TTVR). This landmark procedure was carried out on a 61-year-old woman who had already undergone three major heart surgeries in her lifetime and had reached a stage where conventional surgery was no longer an option.

Doctors explained to the family that another open-heart surgery would be extremely risky and possibly life-threatening. With no safe surgical path left, the hospital’s multidisciplinary Heart Team chose a highly advanced yet minimally invasive option—Trans catheter Tricuspid Valve Replacement, a procedure that replaces the damaged valve without opening the chest, offering hope where none seemed possible. The high-risk TTVR was successfully performed on December 26, 2025. The patient showed steady improvement, stabilised well, and was discharged within three days—bringing relief and renewed hope to her family.

Dr Milan Chag Cardiologist and Senior Cardiologist of Gujarat, said - I have been treating this patient for 31 years, and her faith and meticulous follow-up kept her well till recent times despite three previous open heart surgeries, when the failing tricuspid valve led her to repeated hospital admissions and miserable quality of life. This unique life-saving treatment of TTVR, done under local anesthesia and conscious sedation, gave her yet another chance to live an active life.

Dr Dhiren Shah, Director - Cardio Thoracic & Vascular Surgeon and Heart Transplant Surgeon, said, what makes this medical milestone even more meaningful is the humanitarian context already known to the treating team. A close family member of the patient had earlier made the selfless decision to opt for cadaver organ donation, saving five lives. Recognising this extraordinary contribution to society, the medical team collectively chose to extend care beyond clinical responsibility. The entire high-risk procedure was therefore performed at 50 per cent of the actual cost, and in a rare gesture of compassion, the experts involved did not charge any professional fees.

This historic achievement not only places Western India on the map of advanced heart care but also reinforces a powerful principle—that medicine rooted in ethics, empathy, and gratitude can profoundly impact lives. The patient will continue to be closely followed to monitor her recovery and heart function. This first-of-its-kind TTVR stands as a symbol of resilience, gratitude, and the transformative power of compassionate medical care.