NE HEALTH BUREAU
CHENNAI, AUG 10
The ICAD (Institute of Cardiac and Aortic Disorders) team at SIMS Hospitals, Vadapalani, successfully treated a 66-year-old male patient, a US-based NRI and native of Bengaluru, with a rare cardiac cause of hoarseness of voice and breathing difficulty through multiple complex surgical interventions.
The patient was evaluated for breathing difficulty and hoarseness of voice. Following treatment with an ENT surgeon for two months, he was referred to a pulmonologist for his breathlessness. A preliminary diagnosis of chronic obstructive lung disease was made. But a chest X-ray revealed an abnormal shadow, calling for a CT Chest, which showed a large aortic aneurysm of 7 cm. The echocardiogram showed that he had moderate dysfunction of the heart muscle, owing to which we decided to do a coronary angiogram that showed severe blockages of all his arteries supplying the heart muscle.
- Performs coronary artery bypass grafting (CABG) on a beating heart, followed by stenting of the aorta
- Dr VV Bashi stresses on the importance of regular master health checkups, especially for high-risk individuals, who are in their old age and the ones with Diabetes and hypertension too
- Other members of the team include Dr Aju Jacob (Senior Cardiac anesthetist), Dr K Murali (Interventional Radiologist), Dr Mohammed Idhrees (Cardiovascular & Thoracic Surgery) and Dr Arunkumar (Cardiac anesthetist)
Highlighting the complications of this case, Dr V V Bashi, Director & Senior Consultant of the institute said, “Keeping the above challenges and the critical state of the patient’s medical condition in mind, our dedicated team of doctors planned to proceed with the staged procedure intervention. On receiving the consent we performed one procedure after the other, in a controlled manner. We did the CABG on a beating heart as the first procedure and then stenting of the aorta. We did bypass on a beating heart, without the need for a heart-lung machine and the balloon pump.”
“All through the procedure, we ensured his blood pressure was under control. He had an uneventful postoperative recovery with proper medications for six weeks, post which he was admitted again for the treatment of his aortic aneurysm. He underwent a successful stenting of the aorta, which the heart tolerated very well. Today, we are glad and thankful that he has recovered from both the procedures and we strongly believe that the timely diagnosis and staged treatment was responsible for his smooth recovery”.
V V Bashi added that all breathing difficulties do not necessarily arise from lung diseases alone, but also because of under lying heart diseases, which may remain silent. He stressed on the importance of regular master health checkups, especially for high-risk individuals, who are in their old age and the ones with Diabetes and hypertension too. “Besides these, life threatening diseases like aortic aneurysms can also be picked up”, he concluded.
In a statement, Dr. Ravi Pachamuthu, Chairman, SRM Group, said, “These kinds of complex cases that are extremely critical require experienced hands and a highly equipped state-of-the-art technology, including modular theaters and Cath Labs for comprehensive treatments and medical care. Empowered with such all-round excellence under the able guidance of Dr. V V Bashi, Director & Senior Consultant (ICAD) and his dedicated team of doctors, we could successfully perform the staged procedures. At SIMS we have successfully treated some of the most complex cases in the country, and this is yet another milestone in our journey of clinical excellence. Such positive outcomes will encourage us to cater to many more patients requiring advanced cardiac care in the future too”.
Other members of the team present at the press conference were Dr. Aju Jacob (Senior Cardiac anesthetist), Dr. K. Murali (Interventional Radiologist), Dr. Mohammed Idhrees (Cardiovascular & Thoracic Surgery) and Dr. Arunkumar (Cardiac anesthetist).
