SIMS Hospital Doctors Save 29-Year-Old from Triple Organ Failure During Rare Recurrent Stroke
Chennai, 18 November 2025: SIMS Hospital successfully treated a recurrent stroke in a 29-year-old man, caused by a blood clot in his brain, and simultaneously saved his heart and right leg by addressing additional clots—an extremely rare multi-organ presentation in someone so young. The patient, diagnosed earlier with Antiphospholipid Antibody Syndrome (APLA), had suffered his first major stroke in 2022 at age 26. A brief interruption in his medication triggered this second, more severe episode. His quick response to early symptoms like slurred speech helped prevent permanent damage.
The case was managed by Neurology specialists Dr. Prabash Prabhakaran and Dr. Vivek Iyer, Interventional Neurologists Dr. Rithesh R. Nair and Dr. S. Selvin, and vascular surgeon Dr. Sairam Subramaniam. The patient is now stable, discharged, and will require lifelong medication and follow-up.
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Dr. Vivek Iyer said, “A second stroke with simultaneous clots in three major organs is exceptionally rare and required a highly coordinated, multidisciplinary approach.” Emphasising early action, Dr. Prabash Prabhakaran added, “Stroke can affect any age group. This patient’s quick response gave us a crucial window to intervene.”
Imaging confirmed clots in the brain, heart, and right leg. The interventional team performed a surgical thrombectomy on the right femoral artery while administering clot-dissolving medication for the brain and heart. Managing three clots at once posed complex challenges, with each requiring a distinct strategy. Dr. Rithesh R. Nair noted, “Restoring blood flow across three critical sites simultaneously demonstrates the advances in interventional neurology.”
India reports about 1.6 million new stroke cases annually, with rising incidence in people under 40 due to sedentary lifestyles, chronic stress, unhealthy diets, poor sleep, altered clotting patterns, pollution exposure, and traditional risk factors like hypertension, diabetes, high cholesterol, smoking, and alcohol use. Advances such as thrombolysis and mechanical thrombectomy now allow doctors to restore blood flow even in smaller vessels, though early recognition and rapid hospital arrival remain key to good outcomes.
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