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Jaipur's Cardiac doctors perform complex heart surgery

A life-threatening condition in a 79-year-old patient suffering from carotid artery stenosis.

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Cardiac doctors team at a city hospital performed a complex surgical procedure and successfully averted a life-threatening condition in a 79-year-old patient suffering from carotid artery stenosis. It mean a narrowing of the carotid arteries, which are two major arteries that carry oxygen-rich blood from the heart to the brain.

“When the patient came to the hospital, he was partially bedridden. In the last 2-3 months, he had suffered recurrent episodes of falling down, fainting and injuring himself, every time he attempted to walk a few metres,” Dr Anshul Patodia, consultant, cardiology at Narayana Hospital, said. “Looking at the patient’s history, we found out that the patient had suffered a right-sided paralysis attack three years ago from which he had now recovered. These symptoms made us suspect that the brain was not receiving enough blood which was confirmed via diagnostic tests,” she added.

Angiography revealed 100% blockage in the left carotid artery and 95% blockage in the right carotid artery. The blood flow to the brain was severely compromised and any further blockage would lead to immediate death.

“The case was extremely risky as the brain was surviving on minimal blood, it received from the right artery only. Opening of the blocked artery would lead to sudden rush of blood to the brain. If not managed well, this could cause enormous spike in blood pressure potentially leading to severe brain swelling, bleeding or even death. Also, while performing the procedure, if there was even a minor disruption in the blood flow to the brain, it could lead to on-table death,” said Dr Patodia. “After evaluation, right carotid artery stenting was found to be the most feasible and practical as the patient had multiple co-morbidities too. We took up the challenge and were successful,” added Dr. Patodia.

Through a small nick in the groin, a catheter helped deliver a metal stent with inflatable balloon which opened the blockage. “The patient recovered well and he could walk again without any difficulty, within 24 hours.

SPECIALISED CENTRES

“It has been seen that patients who have high risk factors or who have to undergo a complex surgery or intervention do best at specialized centers where the clinical and support team has a lot of experience. We are happy that the team could successfully perform the intervention and save the patient’s life,” said Dr Mala Airun, Zonal Clinical Director, Narayana Hospital.

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