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The Most Complex Aneurysm Surgery At MIOT - Press Meet On 12th December 2013
MIOT performs the most complex aneurysm surgery for a patient who had earlier undergone heart transplant elsewhere. This surgery performed at MIOT is reported for the 1st time in India and 3rd in the World.
A team of doctors headed by Dr.V.V.Bashi, conducted a complicated surgery on a patient who had heart transplant 4 years ago.
A 25 year old girl came to us with severe chest pain and breathing difficulty on 22.11.2013. She was not able to lie down because of breathlessness. She had earlier undergone heart transplant on 17.09.2009 elsewhere for heart failure (Cardiomyopathy).
She underwent all the tests and we found that she had a dissecting aneurysm of the ascending aorta and leak in the major valve of the heart (Aortic valve).
The only way to save her life was to do a major surgery under very high risk. She was on medications to prevent rejection of the transplanted heart. This makes the operation technically difficult. She has increased chance of infection as it is a long operation. Transfusing regular blood can also produce increase chance of rejection of the heart.
Surgical Procedure
First she was connected to the heart lung machine by putting two tubes in the groin and she was cooled before we opened the chest because the aneurysm was sticking to the chest wall. Then we removed the diseased valve and the ascending aorta and dissected out the coronary arteries. After that the whole of the ascending aorta and Aortic valve was replaced with artificial valve and graft and the coronary arteries was reimplanted (Bentall’s operation). After surgery she was on careful monitoring and special medications to prevent complications. She made an uneventful recovery and is ready to go home in few days.
The surgical team was headed by Dr.V.V.Bashi and assisted by Dr.Vijit and Dr.Prasanna and Anesthesia team was headed by Dr.Aju Jacob assisted by Dr.Jyotsna and Dr.Ajith. Besides them a team of Perfusionists, nurses and technical staff were involved in the operation.
Corrective surgery for Dissecting aneurysm of the ascending aorta on a transplanted heart is not reported from India before and is only the 3rd instance reported in the world. Since the patient hails from a poor socio-economic status, the family was unable to mobilize the funds. Hence the management of MIOT International waived off the entire cost for the surgery and medications which amounted to Rs. 5 Lacs.
About the MIOT Centre for Thoracic and Cardiovascular Care
- MIOT is the largest referral centre for complex aortic aneurysms in South India performing more than 100 such complex aneurysm cases annually.
- Dr.V.V.Bashi has performed more than 300 cases of Bentall’s operation (the one in the case mentioned above), which is one of the largest series in India with a success rate of 99% which matches to any best centre as reported across the world.
- World-class infrastructure and equipment – ensures the best for the patient, especially for complex heart diseases.
- Clean environment – well laid out, spacious and clean environment has ensured low rates of infection in this centre.
- The centre has performed more than 15,000 cardiac surgical procedures with outstanding results which includes Off-pump treating heart CABG’s, Mitral valve repairs, Aortic aneurysm operation, Arterial grafting for bypass surgeries, Endovascular stenting and hybrid procedures for aortic aneurysms and Minimally Invasive Cardiac Surgeries (MICS).
Events: Press Meet
Location: MIOT Hospitals
Date: 12th December 2013
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Chief Prof. Dr.P.V.A. Mohandas delivering welcome address -
Dr.V.V.Bashi addressing the Press -
During Press Meet -
Patient interviewed by the Press