The patient, admitted to hospital with a cough and shortness of breath, had blockages in three of his arteries, a severe leak in his main heart valve and ruptured heart muscles, which reduced his heart function.
According to the Fortis doctors, who treated the patient, the triple surgery performed last week is very rare, with only 3-4 known cases so far. In the triple surgery, doctors repaired his ruptured left heart muscle with a delicate surgical technique, repaired the damaged valve and addressed any critical blockages with a bypass. Cases like this are reported by 1 in 10,000 patients, the doctors pointed out, adding that the chances of success for surgeries involving multiple procedures are extremely low.
A team of doctors led by Dr. Udgeath Dhir, Director and Head of Cardiothoracic and Vascular Surgery (CTVS), Fortis, Gurgaon treated the patient who arrived at the hospital with shortness of breath and lungs flooded with blood due of a serious leak in the heart valve. The right side of his heart wasn’t working as it should either. After admitting the patient to intensive care, doctors decided to perform a coronary angiogram to understand the condition of his coronary artery. The team then discovered the arterial blockages and opted for the triple surgery, which included bypass surgery, repair of the leaking mitral valve, and repair of the heart muscle, which was ruptured.
Dr Dhir said: ‘The case was extremely difficult. In addition to finding the three main arteries of the heart blocked, with more than 90% disease, heart function, normally at 55%, had reduced to 20-25%, with right heart function severely diminished. His condition was precarious because the left heart muscle had ruptured. In addition, the main valve on the left side of the heart was leaking badly.
He added: “Before doing the surgery, we calculated the Euro score, ie the risk assessment, which was 45%. Despite the high risk, we went ahead and performed a successful operation. The patient was kept on a ventilator for 24 to 36 hours, then five days in intensive care. He was discharged on the 8th postoperative day with 40% cardiac function”.