Dr. Satish Mathew and his team perform a complex 15-hour surgery to treat an aortic aneurysm and blocked arteries. (Representational Image: Wikimedia Commons)  
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Noida: Successful 15-Hour Cardiac Surgery Saves Patient from Life-Threatening Aortic Aneurysm

A team at Kailash Hospital, Noida, performs a complex three-stage surgery to treat a rare combination of blocked arteries and a large aortic aneurysm

Ankur Deka

In a remarkable medical achievement, doctors at Kailash Hospital and Heart Institute, Sector 27, Noida, successfully performed a 15-hour cardiac surgery on a patient who initially presented with an uncommon symptom—hoarseness in his voice. The patient, Bishan Singh Bisht, underwent a life-saving procedure that was carried out in three intricate stages by the hospital’s cardiac surgery team.

Dr. Satish Mathew, chief cardiothoracic and vascular surgeon at Kailash Hospital, led the medical team. According to a statement released by the hospital, Bisht’s primary concern when he arrived at the hospital was the unusual change in his voice. After a comprehensive evaluation, doctors discovered a more severe underlying problem—an orange-sized aortic aneurysm had formed in the main aorta of Bisht’s body. This condition, if left untreated, could have been fatal due to the imminent risk of the aneurysm rupturing.

Further diagnostic tests, including a coronary angiogram, revealed another critical issue. Two of Bisht’s major arteries, responsible for supplying blood to his heart, were severely blocked. This placed him at significant risk of a heart attack, complicating the situation even further. Faced with these life-threatening conditions, the cardiac surgery team planned a complex, multi-stage operation to save the patient’s life.

Bishan Singh Bisht recovers at Kailash Hospital in Noida after a life-saving cardiac procedure. (Wikimedia Commons)

The surgery was divided into three distinct stages to address both the blocked arteries and the aortic aneurysm. In the first stage, the team performed an off-pump coronary artery bypass grafting (CABG) procedure to restore proper blood flow to the heart. Off-pump CABG, a technique where the heart is not stopped during surgery, was crucial in reducing the risks associated with Bisht’s critical condition.

The second stage involved creating an alternative blood supply to the brain using artificial tubes, ensuring that the patient’s brain would remain safely supplied with blood during the most intricate parts of the operation. In the final stage, the surgical team reinforced Bisht’s aorta by implanting a Valiant Captiva endograft. This specialized graft allowed blood to flow directly into the lower part of his body, stabilizing the aorta and preventing the risk of rupture.

The entire procedure lasted 15 hours and required extraordinary precision from the surgical team. After the surgery, Bisht remained under close observation for seven days to monitor his recovery. Following his postoperative care, Bisht was thoroughly examined and deemed fit to be discharged.

Dr. Mathew, who has led numerous successful cardiac surgeries, stated that the hospital has performed more than 5,000 heart and vascular surgeries over the past two decades. He highlighted the significance of this particular case, noting the complexity and challenges posed by Bisht’s condition. The successful outcome underscores the hospital’s expertise in handling high-risk cardiac cases and its commitment to delivering top-tier medical care.

(Input from various sources)

(Rehash/Ankur Deka/MSM)

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