by The Welthi Bureau | 03 JAN 2018
Cardiologists and Cardiac Surgeons at Apollo Hospitals, Hyderabad, performed a new procedure to revive a 70 year old Heart failure patient and facilitated he leading a normal and active life. The team of Dr. V. Surya Prakasa Rao, HOD, Cardiology, Dr. K. Venkat Reddy, Chief Cardiac Surgeon, and Dr. P. L. N. Kapardhi, at Apollo Hospitals, Hyderguda, performed a procedure using the most advanced Left ventricular assist device - “Left ventricular assist device” (LVAD HEART MATE 3).
The 70 year old patient Mr. Hasan, is a high risk case, having undergone bypass surgery (CABG) for triple vessel block way back in 1995 in Germany. He had also been implanted with stents for the blocked surgical grafts number of times in Germany. As recently as 2015, he had stent implanted in left main coronary artery at Apollo Hospitals, Hyderguda, for an episode of fresh heart attack. He is also suffering from diabetes and chronic kidney disease. Being a redo case the risk of operative mortality and morbidity was pretty high. He was a sick patient came with a complaint of
The team had a challenge on hand as the patient was in an advanced age, sick and had several episodes of heart attacks, went into a heart failure and was getting into kidney failure stage. Maximum medical management was attempted, with him not responding to any of the options and all efforts proved to be ineffective. He was give a device called CRT – D (Pacemaker like) to improve his heart failure, which showed partial improvement. The patient however was desiring a treatment which could give a better quality life and enable him to pursue his business and personal works. The team explored the option of cardiac transplantation, but the patient's condition, associated medical co-morbidities and advanced age made him unfit for that too.
As the team had exhausted all options, they decided to opt for a relatively new procedure, with a mechanical heart called “Left ventricular assist device” (LVAD HEART MATE 3). This is the most advanced Left ventricular assist device available and functions on magnetic field, effecting higher revolutions or rotations. Blood clotting is almost negligible, thereby reducing the chances of stroke. Since the device was lesser size, a relatively minimally invasive procedure was performed to implant it. This device did not need creation of pocket in the peritoneal cavity, unlike previous ones. The best part is that the unit has memory to adapt to the patient's parameters quickly.
Dr Venkat Reddy says, patients of heart failure, those not fit for heart transplant, terminal heart patients and also those who had no other option, can immensely benefit from this procedure. It is essential to spread the message of this procedure being available for such patients, they no more need to lose hope, he adds.
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