Dear Doctor, Pranav Here From Bangalore. Past History: I Am

Dear Doctor,
Pranav here from Bangalore.

Past History:
I am 47 yr old, since 17 yr. Old uricemia (high uric acid) taking xylorix SOS, smoking history quitted last month Oct 2015.

In 2014 whole health check up done TMT was positive thyroid was high 10.7, Uric acid was high 9.8, trigkycerides 295, FBS-115, PP-173, platelets mildly reduced (1lac), grade I fatty lever, Mild Obstructive airway disease and was prescribed medicine for the same BUT I IGNORED IT THOROUGHLY AND DIDNT TOOK ANY MEDICINE WHICH I REGRET NOW.

on 18th Oct 2015 I felt congested chest and heaviness and breathlessness and admitted to local nursing home which I got normal after administering nebulisation, they took bed side ECHO and diagnose calcified Bicuspid Valve stenosis with LVH (left ventricular hypertrophy), I got it cross checked at specialised cardiac center at Bangalore and seeing the gradient they advise me to undergo surgery AVR.
Before surgery they wanted to perform Angiography to know if there is any arterial blockage, so that both bye-pass and AVR can be taken care thru (CBAG), if angiography is normal they can go for endoscopic aortic valve replacement, they will be using tissue valve.

Diagnosis:

a)     Bicuspid Valve.
b)     Calcific Severe Aortic Stenosis
c)     Severe Aortic regurgitation.
d)     Left Ventricular hypertrophy
e)     Obstructive airways disease 2014
f)     Blood Platelet Count 150000
g)     Lost 8-9kg in last 1 month.
h)     Grade I fatty lever
i)     Hypothyroidism-TSH-11.77
j)     TMT positive 2014
k)     Sodium-132
l)     SGOT-78
m)     SGPT-157
n)     HDL-28 (L)
o)     LDH-118(H)
p)     CHOLESTEROL.HDL RATIO-5.29
q)     UROC ACID-7.8
r)     GAMA GLYTOMYL TRANSFERATE-139 (H)
s)     BH-15
t)     CREATININE-1.37

Past History:

a)     Raise Uric Acid 17yr
b)     Smoking-Quitted 1 month back

Plan of action as per Narayan Hrudyalaya:

1)     Haematology assessment for low platelet count.
2)     Angiogram
3)     If 1&2 goes well go for AVR thru endoscopic aortic valve replacement if any blockage diagnose go for (CABG+AVR).

QWERIES:
A.     Please advise on Best cardiac medical center in India and cardiac surgeon expert in AVR+CBAG.
B.     Is the line of treatment and plan of action is OK and we should go ahead with this.
C.     Metallic Vs Tissue Valve-Please advise with reason in this age which valve shall we use doctors have difference of opinion on this.
D.     Which is better technique of surgery conventional CABG or endoscopic aortic valve replacement and safe for longer run.
E.     Specific hospital name and surgeon name we shall be opting for in India.
F.     How safe and success % and recovery time in this kind of surgery and how it is going to affect and impact my quality of life.
G.     Current medication: Thyroxin 50 and patocid 40
H.     Shall I take wheat grass for increasing platelets though the haematologist says 150000 platelets is enough for performing angiogram or CBAG.
I.     Feeling blurdness of vision for few seconds and numbness in any area if I remains in same posture for long.
J.     I have no other symptoms, I am climbing stairs, walking for 1-2 km doing my day to day activity-almost asymptomatic no chest pain or so.
K.     Can my disease be cured or reverse by medical management or medicine And life style change or surgery is the only option left with.

Apologise for this long narration, pls. share your view at the earliest as I need to take a call sooner.
Live long and prosper,
Pranav