First in India, An Elderly Person Undergoes Complex Surgery for Acute Type-A & Type-B Aortic Dissection at SIMS Hospital, Chennai
- These kind of complex cases are performed only at few elite medical institutes in the world, because it requires superior surgical skills, latest technology and availability of the modern hybrid graft (Thoraflex Graft).
Chennai,
19 Dec. 2019: For the 1st time in India, an
elderly gentleman underwent a successful surgery for correction of multiple
anomalies of Aorta (Acute Type-A Dissection, Leakage in Aortic Valve and A
Tear in the Distal end of the Aorta), in a single stage operation, at The
Aortic Aneurysm Centre, SIMS Hospital, Chennai.
Type-A dissection in the ascending aorta itself is
a lethal condition posing challenge to Cardiac Surgeons. When it happens
suddenly, majority of the patients do not survive, unless surgical treatment is
done in first 48 hours. Additionally treating the leaking aortic valve and the
tear in the lower part of the descending aorta was a huge challenge in this
case. Currently in most of the centres, only the ascending aorta is rectified
for such cases, leaving the other problems to be tackled after 1 or 2 years.
But, the surgeons at SIMS corrected all the 3 different parts of the aorta in a
single operation that lasted for about 6 hours.
Case Details:
A
65 year old gentleman (name withheld) from Coimbatore was admitted to SIMS
Hospital with complaints of severe chest pain radiating to the back and
abdomen. The pain was very intense over the past one day before the patient
came to SIMS for consultation. Upon detailed investigations, he was diagnosed
with Acute type A Aortic Dissection along with a leaking aortic valve and a tear in the lower end of the
descending aorta. It was a life-threatening condition for the patient that
required
an emergency surgery. The patient then rushed-in for
surgery within half an hour, which is mandatory in such a condition.
Speaking
on the complexity of aortic disorders, Dr. V. V. Bashi - Director, Institute of Cardiac & Aortic
Disorders (ICAD) at SIMS said, “It is quite challenging to detect
aortic conditions preemptively, and
detecting 3 conditions in one case would be difficult
unless right diagnostic approach is taken. Another challenge for us
was to carry-out all the surgical corrections in a single session,
that too on an emergency basis. ”
The patient underwent successful total corrective replacement of the
entire diseased aorta with the repair of the aortic valve as a single stage operation and had an uneventful recovery. He is doing well and assuming normal life.
Explaining
the uniqueness of surgery, Dr Bashi
said, “The multi-stage surgeries over years leave the patient and family in
a state of fear and anxiety due to risk of interim
mortality. The single-stage
correction of all the problems will give the patient confidence to live a
longer and happy life.”
Recently,
SIMS Hospital had inaugurated India’s First Exclusive
Centre for Aortic Diseases, to bring focused approach on treatment and management of Aortic Disorders. The centre works towards
creating
awareness about various
aspects of the conditions, like risk factors,
advanced treatment modalities etc.
Expressing his excitement
over this outstanding surgical feat, Shri. Ravi Pachamoothoo - Chairman, SRM
Group, said, “It has
always been our endeavour to be at the forefront of medical innovation and
healthcare excellence in India. And our legacy of being in the field of
education gives us that edge to bring-in new ideas & innovations, developing
& mentoring future clinical talents to achieve that objective. We are
fortunate to have outstanding doctors like Dr. Bashi, who has his own legacy in
the field of Cardiothoracic surgery, especially in the treatment of Aortic
Disorders, to lead our young doctors into a bright future.”
In
India, approximately 3 - 4 lakh people suffer from various types of Aortic Disorders
every year; out of which only around 1000 people are getting treated. If the
disease can be diagnosed early most of the patients
can be treated successfully, with success rate of more than 95%. Very few
centers in our country are performing aortic surgeries in large numbers. Dr. Bashi
and his team have performed more than 1,500 aortic surgeries which is one of
the largest from any country on par with International standards.
On Twitter:
https://twitter.com/chennaipresnews/status/1207908044274688000?s=20
On Twitter:
https://twitter.com/chennaipresnews/status/1207908044274688000?s=20
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