The patient had donated his left lobe of the liver to his elder brother in 1998 at a corporate hospital in New Delhi.
Hyderabad, Telangana: A team of doctors led by renowned heart surgeon Dr Prateek Bhatnagar, Director, Cardiac Surgery at CARE Hospital in Hyderabad, performed a rare and challenging multiple 'beating heart' bypass surgery operation on a 71-year-old patient, who happens to be the first live liver donor in Asia, and who already had six stents at the time of undergoing this risky operation.
The patient, Syed Ishaque, was Asia's first 'Live' liver donor for a liver transplant operation. He had donated his left lobe of the liver to his elder brother in 1998 at a corporate hospital in New Delhi.
After recovering from donating part of his liver, Syed had resumed his normal life. He was the principal of a college in Akola in Maharashtra and is currently the CEO of an organisation running 14 institutions.
Ishaque, however, developed a heart disease a few years later. He underwent stenting in his coronary arteries in 2000, 2010 and 2012 at Pune. A total of six stents were placed. Recently, he developed unstable angina. Coronary angiography showed multiple blocks in the stents, needing urgent bypass surgery.
A multiple bypass surgery operation was done on October 1, 2020, by Dr Prateek Bhatnagar and his team using beating heart surgery with total arterial revascularisation. No cuts were made on the legs. He had a smooth post-operative recovery and was walking freely 2 days after his surgery.
Dr Bhatnagar told Zee Media that the main issue in this surgery was the liver function. "Keeping this in mind, open heart surgery was avoided and the entire bypass surgery was performed without stopping or cutting the heart. Hence, during the entire surgery, liver received “Pulsatile” blood flow which optimised the liver function," he said.
"A patient can live a long life after donating part of his liver. This should serve as a confidence booster for those who worry about donating organs, particularly liver. If a liver donor later develops complex heart disease, like in this patient, he can still undergo a high-risk bypass surgery successfully with an experienced team of doctors. Hence patients who have been organ donors should not hesitate from getting operated and getting their health back on track," he added.
Syed said he was scared of the surgery first but is happy now. "To be very honest, I and my family were scared of the surgery, especially after having six stents already. The COVID-19 added to our woes but now that the surgery is successful and doctors are extremely satisfied with my progress we are happy,'' Syed Ishaque told Zee Media.
Syed Ishaque was discharged on Wednesday.
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 "Asia's first 'live' liver donor undergoes beating heart bypass surgery")
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