Hyderabad Hospital Reports India’s First Combined TAVI and BMV Heart Procedure in an 83-Year-Old Patient
Hyderabad has drawn attention in the medical field after Apollo Hospitals in Jubilee Hills reportedly performed a combined TAVI and BMV procedure on an 83-year-old patient in a single sitting.
The procedure took place on November 14, 2026, and was reported as the first such combined procedure in India.
The case is significant because the patient had two severely narrowed heart valves and a medical history that made another open-heart operation particularly risky.
What happened during the procedure?
According to the report, the patient was suffering from two conditions:
- Severe aortic stenosis
- Severe mitral stenosis
Both conditions affect the heart’s ability to move blood normally.
The medical team chose a catheter-based approach rather than another open-chest operation.
The procedure was performed by interventional cardiologists Dr. P. C. Rath and Dr. Manoj Kumar Agarwala.
What are TAVI and BMV?
TAVI and BMV are different catheter-based procedures used to treat problems involving heart valves.
1. TAVI: Transcatheter Aortic Valve Implantation
TAVI is a procedure used to treat a narrowed aortic valve.
Doctors guide a replacement valve into the heart through a blood vessel. It is designed to improve blood flow without requiring conventional open-heart valve surgery.
2. BMV: Balloon Mitral Valvotomy
BMV is used to treat a narrowed mitral valve.
A specialised balloon is guided to the affected valve and inflated to help widen the narrowed opening.
Both procedures are performed using specialised medical equipment and require careful patient assessment.
Why is this combined procedure important?
The patient was 83 years old and had previously undergone open-heart bypass surgery. He also had a pacemaker.
Treating both valve conditions in one session avoided the need for two separate procedures, according to the report.
The procedure was performed through a blood vessel in the groin, using a catheter-based technique.
The operation was also demonstrated live to heart specialists attending the Hyderabad Valve meeting.
What does this mean for heart treatment in India?
The reported procedure highlights the growing role of minimally invasive cardiac interventions.
For selected patients, catheter-based treatments may offer alternatives to conventional surgery. However, suitability depends on the patient’s condition, medical history, anatomy and specialist evaluation.
This development does not mean that every patient with valve disease can avoid open-heart surgery. Treatment decisions must be made by qualified cardiologists after detailed testing.
Frequently Asked Questions
1. What is TAVI?
TAVI stands for Transcatheter Aortic Valve Implantation. It is a catheter-based treatment for a narrowed aortic valve.
2. What is BMV?
BMV stands for Balloon Mitral Valvotomy. It uses a balloon to widen a narrowed mitral valve.
3. Where was the combined procedure performed?
The reported procedure took place at Apollo Hospitals, Jubilee Hills, Hyderabad.
4. How old was the patient?
The patient was 83 years old.
5. Can every heart patient undergo TAVI or BMV?
No. Eligibility depends on the patient’s medical condition and specialist assessment.
Conclusion
The combined TAVI and BMV procedure reported in Hyderabad is an important medical development. It highlights how specialised catheter-based techniques are expanding treatment options for selected patients with complex heart valve conditions.



