TMVR Surgery Cost at Narayana Health Bangalore (2026)

The TMVR procedure package at Narayana Institute of Cardiac Sciences varies according to the accommodation category.

The replacement valve implant and certain other medical expenses are charged separately. The applicable package depends on the replacement technique and hospital billing category.

You can explore the Narayana Health price list for a broader overview of hospital charges and treatment packages.

What is Included in the TMVR Package?

The following services may be included:

• Procedure-related professional charges

• Surgeon or treating specialist fees, where applicable

• Operation theatre and anaesthesia charges, where applicable

• Room charges during the defined package period

• Routine investigations covered under the package

• Doctor visits during the package period

Catheterisation laboratory charges and other procedure-specific services depend on the selected package.

What Expenses are Charged Separately?

Additional expenses may include:

• Replacement heart valve and other implants

• Medicines and consumables

• Pre-catheterisation investigations

• Additional CT, MRI and outsourced diagnostic tests

• Hospitalisation beyond the package period

• Dialysis, intra-aortic balloon pump (IABP) or ECMO support, if required

• Additional cross-specialty consultations

Read also: Heart Valve Replacement Surgery - Procedure and Recovery

The transcatheter mitral valve replacement cost in India is significantly influenced by the replacement valve selected. The choice depends on whether the patient has a failing biological valve or a native mitral valve condition.

The implant cost depends on the valve model, size, accessories and procurement arrangements. Clinical indications and availability differ between valve systems.

Indian-Made vs Imported TMVR Valves

Indian-made valves such as Myval and imported systems such as the Edwards SAPIEN 3 family may be considered for selected mitral valve-in-valve procedures.

Indian-made valve implants may cost approximately ₹3.5–₹5.5 lakh, compared with ₹8–₹12 lakh for certain imported systems. Dedicated native-valve devices such as Tendyne and SAPIEN M3 involve specialised delivery and anchoring mechanisms and may cost more.

Valve selection depends on the patient's anatomy, previous valve surgery and clinical suitability rather than the manufacturer's country of origin alone. Advanced cardiac imaging helps specialists assess valve dimensions and select an appropriate device.

What Factors Affect TMVR Treatment Costs?

The TMVR cost at Narayana Hrudayalaya depends on the replacement technique, valve model, medical condition and hospitalisation requirements.

Transcatheter mitral valve replacement is a catheter-based procedure used to implant an artificial valve in the mitral position without conventional open-heart surgery.

The mitral valve lies between the heart's left atrium and left ventricle. It regulates blood flow and prevents blood from leaking backwards.

TMVR may be considered for selected patients with:

• Mitral regurgitation: The valve does not close properly, allowing blood to leak backwards.

• Mitral stenosis: The valve becomes narrowed, restricting normal blood flow.

• Failed biological mitral valve: A previously implanted tissue valve becomes narrowed, leaky or dysfunctional.

Patients may experience breathlessness, fatigue, reduced exercise tolerance, leg swelling or worsening heart failure symptoms.

TMVR is considered when valve dysfunction requires intervention and the patient's anatomy is suitable for a transcatheter approach. A multidisciplinary team of specialists assesses disease severity, previous surgery, overall health and surgical risk before recommending treatment.

Types of Transcatheter Mitral Valve Replacement

TMVR has three main types, depending on the existing valve condition and the patient's heart anatomy.

• Mitral Valve-in-Valve Replacement: A new transcatheter valve is implanted inside a failing biological mitral valve placed during an earlier heart operation. The mitral valve-in-valve replacement cost depends on the implant model, valve size, procedure complexity and hospital charges.

• Mitral Valve-in-Ring Replacement: A replacement valve is positioned within a surgical ring previously used for mitral valve repair. Suitability depends on the ring design and surrounding anatomy.

• Native Mitral Valve Replacement: A specialised transcatheter system replaces the patient's original mitral valve without conventional surgical removal. This approach is considered for selected clinical indications.

Tests and Investigations Before TMVR

Detailed investigations help cardiologists assess mitral valve disease and determine whether transcatheter replacement is suitable.

The investigations required depend on the patient's medical condition and planned procedure. Not every patient needs all these tests.

How is TMVR Performed?

The TMVR procedure involves implanting a replacement mitral valve using a catheter-based delivery system. The exact technique depends on the valve system and patient's anatomy.

1. Heart evaluation: The Heart Team reviews cardiac imaging and medical investigations.

2. Anaesthesia: The patient receives appropriate anaesthesia or sedation.

3. Heart access: The team uses a suitable route, such as transseptal venous access or a specialised chest approach.

4. Valve implantation: The replacement valve is delivered and positioned.

5. Valve assessment: Imaging evaluates valve function, positioning and blood flow.

6. Post-procedure monitoring: The patient receives cardiac observation and recovery care.

The Tendyne system uses a transapical approach through a small chest incision, whereas SAPIEN M3 uses a transseptal catheter approach.

TMVR vs MitraClip and Conventional Mitral Valve Surgery

Understanding MitraClip vs TMVR helps patients distinguish between valve repair and replacement. MitraClip improves closure of the existing valve, while TMVR implants an artificial valve.

Other mitral valve replacement options include conventional surgery using mechanical or biological prostheses.

Mechanical mitral valves generally require lifelong anticoagulation with a vitamin K antagonist such as warfarin. Biological valves may require anticoagulation initially or for associated conditions such as atrial fibrillation.

Balloon mitral commissurotomy is another option for appropriately selected patients with rheumatic mitral stenosis.

Cost Comparison of TMVR and Other Mitral Valve Treatments

Conventional surgical repair and replacement generally involve lower treatment expenses than advanced transcatheter procedures. However, treatment selection depends on valve anatomy, surgical risk, expected durability and clinical suitability rather than cost alone.

TMVR Recovery, Risks and Valve Durability

Recovery and Follow-Up Care

TMVR recovery depends on the replacement valve, access route, patient's medical condition and procedure-related complications. Patients are monitored for changes in heart rhythm, blood circulation and valve function during the initial recovery period.

Important aspects include:

• Hospital monitoring: Observation for bleeding, rhythm disturbances and other complications.

• Medications: Anticoagulant or antiplatelet treatment may be prescribed according to the valve system and clinical requirements.

• Physical activity: Activity is increased gradually according to recovery progress and the access route.

• Follow-up echocardiography: Imaging helps assess valve performance and identify complications.

• Warning symptoms: New breathlessness, chest discomfort, fainting, fever or significant bleeding requires prompt medical assessment.

What are the Possible Risks of TMVR?

Potential complications include:

• Bleeding or blood vessel injury

• Stroke

• Irregular heart rhythms

• Valve leakage or dysfunction

• Blood clot formation on the replacement valve

• Left ventricular outflow tract obstruction

• Kidney injury or other medical complications

The risk of complications depends on the patient's medical condition, heart anatomy and procedure performed.

How Long does a TMVR Valve Last?

Transcatheter mitral replacement valves generally use biological tissue. Their durability depends on the device, valve function and patient's medical condition.

Long-term evidence for newer native-valve TMVR systems remains limited. Regular cardiology follow-up and echocardiography help monitor valve performance.

Narayana Health provides cardiac and multidisciplinary medical services across its Bangalore facilities.

NICS is the cardiac hospital associated with the TMVR package charges discussed in this guide. TMVR implantation availability at each facility depends on the procedure, required device and specialist expertise.

TMVR Specialists at Narayana Institute of Cardiac Sciences

NICS has experienced interventional cardiologists specialising in complex cardiac procedures and structural heart interventions. The choice of specialist depends on the patient's valve condition, procedure type and clinical requirements.

Dr Suraj Narasimhan A

• Specialisation: Interventional Cardiology and Structural Heart Interventions

• Expertise: Mitral valve-in-valve procedures, transcatheter mitral edge-to-edge repair and advanced structural heart interventions.

Dr Sanjay Mehrotra

• Specialisation: Interventional Cardiology

• Expertise: Complex cardiac catheterisation and interventional cardiology services.

The treating specialist depends on the procedure and clinical requirements.

Why Consider Narayana Institute of Cardiac Sciences?

NICS provides specialised cardiac services supported by:

• Structural heart expertise: Interventional cardiologists and cardiac surgeons involved in complex heart valve treatment.

• Advanced diagnostics: Cardiac imaging and catheterisation facilities for treatment planning.

• Multidisciplinary evaluation: Collaboration between cardiologists, surgeons and imaging specialists.

• Cardiac infrastructure: Dedicated cardiac operation theatres, catheterisation laboratories and intensive care facilities.

TMVR insurance coverage depends on the patient's policy, medical indication, available sum insured and insurer approval. Eligible patients may receive cashless treatment, subject to pre-authorisation, implant-related limits and other policy conditions.

Important considerations include:

• Cashless treatment: Eligible patients may receive cashless hospitalisation through approved insurance networks.

• Pre-authorisation: The insurer reviews the diagnosis, treatment plan and hospital estimate before approval.

• Implant coverage: Certain policies may impose limits or restrictions on replacement valve implants.

• Co-payment and deductibles: Patients may need to pay part of the treatment expense.

• Non-payable expenses: Some hospital and medical charges may remain outside insurance coverage.

• Government and employer schemes: Eligibility depends on the specific procedure and scheme benefits.

Advanced procedures such as TMVR and TEER may require additional clinical documentation and insurer review. The treating cardiologist's recommendation, imaging findings and assessment of surgical risk help establish medical necessity.

Documents Required for Cashless TMVR Treatment

Additional documents may be required according to the insurance policy and treatment plan.

Patients planning treatment can seek an individualised assessment through HexaHealth to understand expected hospital charges, replacement valve options and insurance eligibility. The assessment helps families prepare for treatment expenses according to the patient's diagnosis and proposed procedure.

Check Other Narayana Health Cost Guides