PTMC Percutaneous Transvenous Mitral Commissurotomy Cost in India
PTMC percutaneous mitral balloon valvotomy, cost typically ranges from $2,500 to $3,000 USD which is equivalent to 2,00,000 to 2,50,000 Indian Rupees, is a minimally invasive procedure used to treat symptomatic mitral stenosis by widening the narrowed mitral valve.
Cost Range of PTMC Percutaneous Transvenous Mitral Commissurotomy Cost in India
What is PTMC ?
PTMC Percutaneous Transvenous Mitral Commissurotomy is a minimally invasive, catheter-based heart procedure used to treat mitral valve stenosis, a condition in which the mitral valve becomes narrowed and restricts blood flow between the left atrium and left ventricle. In PTMC, a special balloon catheter is inserted through a vein (usually in the groin) and guided to the heart. The balloon is then inflated across the narrowed mitral valve to separate the fused valve leaflets, improving blood flow without the need for open-heart surgery.
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Who Is a Candidate for PTMC Percutaneous Transvenous Mitral Commissurotomy?
Patients suitable for PTMC typically include the following:
Patients with symptomatic mitral stenosis, especially those experiencing breathlessness, fatigue, palpitations, or reduced exercise tolerance
Individuals with rheumatic mitral valve disease causing narrowing of the mitral valve
Patients with favorable mitral valve anatomy, where the valve leaflets are flexible and not heavily calcified
Patients without significant mitral valve leakage (mitral regurgitation)
Individuals with high surgical risk, for whom open-heart surgery may not be ideal
Young adults and middle-aged patients with isolated mitral stenosis
Patients with pulmonary hypertension due to mitral stenosis, where early intervention can improve outcomes
Patients requiring a minimally invasive alternative to surgical valve repair or replacement
PTMC & Mitral Stenosis Treatment
Treatment Type | Description |
PTMC (Balloon Mitral Valvotomy) | Minimally invasive catheter-based procedure using a balloon to widen the narrowed mitral valve; preferred first-line option in suitable patients |
Closed Mitral Commissurotomy (CMC) | Surgical separation of fused mitral valve leaflets without heart-lung machine |
Open Mitral Commissurotomy (OMC) | Open-heart surgery to repair the mitral valve under direct vision |
Mitral Valve Repair | Surgical reconstruction of the native mitral valve |
Mitral Valve Replacement (Mechanical / Tissue Valve) | Replacement of the mitral valve with an artificial valve in advanced disease |
Factors Affecting the PTMC Treatment Cost in India
Severity of mitral valve stenosis – More severe narrowing may require additional monitoring or advanced intervention, increasing costs.
Mitral valve anatomy and calcification level – Valves with heavy calcification may need complex procedures or surgery instead of PTMC.
Presence of mitral valve leakage (regurgitation) – Significant leakage may rule out PTMC and increase overall treatment expenses.
Patient’s age and overall health condition –
Choice of hospital and city – Costs vary based on hospital infrastructure, technology, and geographic location.
Experience of the interventional cardiologist – Highly experienced specialists may charge higher professional fees.
Pre-procedure diagnostic tests and imaging – Advanced imaging and evaluations add to the total treatment cost.
Length of hospital stay and post-procedure monitoring – Longer stays or ICU observation increase hospitalization charges.
Management of associated conditions – Treating conditions like atrial fibrillation or pulmonary hypertension may add to costs.
Diagnostic Tests for PTMC & Cost in India (USD)
Diagnostic Test | Purpose | Estimated Cost (USD) |
Echocardiography (2D Echo) | Confirms mitral valve stenosis severity and valve anatomy | $50 – $120 |
Doppler Echocardiography | Measures blood flow and pressure gradient across the mitral valve | $60 – $150 |
Transesophageal Echocardiography (TEE) | Checks for blood clots in the left atrium before PTMC | $150 – $300 |
Electrocardiogram (ECG) | Detects rhythm abnormalities such as atrial fibrillation | $15 – $30 |
Chest X-ray | Assesses heart size and lung congestion | $20 – $40 |
Blood Tests | Evaluates kidney function, clotting status, and infection risk | $40 – $80 |
Cardiac Catheterization (if required) | Measures heart pressures and confirms diagnosis in select cases | $500 – $900 |
PTMC Mitral Stenosis Symptoms
PTMC is recommended for patients who develop symptoms due to mitral valve stenosis. Common symptoms include:
Shortness of breath, especially during physical activity or while lying down
Fatigue and reduced exercise tolerance
Palpitations due to irregular heart rhythm (atrial fibrillation)
Swelling of ankles or feet in advanced cases
Chest discomfort or pressure
Frequent respiratory infections or cough, especially at night
Dizziness or fainting in severe cases
Coughing up blood (hemoptysis) in rare, advanced stages
Why Is India Preferred for PTMC Treatment?
Significantly lower treatment costs compared to the US, UK, and Europe, with savings of up to 70–80%
Highly experienced interventional cardiologists skilled in balloon mitral valvotomy procedures
Advanced cardiac catheterization labs with modern imaging and monitoring systems
Internationally accredited hospitals following global clinical and safety standards
Short waiting times for evaluation and treatment
High success rates in appropriately selected patients
Comprehensive support for international patients, including visa assistance, accommodation, and post-procedure follow-up care