By OUR STAFF REPORTER
DEHRADUN, 1 Mar: Max Super Speciality Hospital Dehradun has performed one of the toughest cardiac surgeries for the first time in the state. It involves endovascular repair of descending thoracic aorta. The surgery can only be performed at a hospital with technically advanced OT, team of experienced surgeons and support staff with advanced equipment.
A 67 year old patient presented with complaints of dull chest pain radiating to the back and uneasiness. On detailed investigation, it was found that the patient’s aorta has dilated up to 10 cms in diameter with dissection. This condition is known as Dissection of Aorta which is life threatening because the aorta, the main artery in the body, can burst or rupture anytime.
The patient was admitted in the CTVS department and the decision on endovascular stent grafting was taken. The procedure was performed by the clinical team including the cardiology department, led by Dr Ravi Kumar Singh, Consultant and CTVS Surgeon, successfully and the patient was discharged from the hospital in stable condition.
According to Dr Ravi Kumar Singh, “The patient’s aorta had dilated up to 10 cms with clot in false lumen. Conventionally, in such cases, open surgery is performed, which increases mortality and takes longer recovery time.” Looking at the condition of the patient, EndoVascular stent grafting was decided by the team.
Endovascular Repair of Aorta is a minimally invasive procedure which is technically challenging and requires meticulous planning along with extensive surgical experience of operating hands. It is less painful, has lower risk of complications, incisions are smaller and the patient leaves the hospital faster.
Dr Ravi Kumar added, “This is a challenging procedure because the repair can decrease the blood flow to the spinal cord and may cause paralysis like situation. So, multidisciplinary teams must be available to tackle any mishap. Detailed planning with defined tasks of pre, post and intra OP team mates is also required.”
