In­no­va­tive car­diac surgery saves Thai ex­pa­tri­ate’s life

Khaleej Times - - NATION - Staff Re­porter as­maal­izain@khalee­j­

dubai — A mod­i­fied tech­nique in an in­no­va­tive car­diac surgery method saved the life of a 37-yearold ex­pat from Thai­land. Sur­geons at Dubai Hos­pi­tal used a method that was not prac­tised be­fore to re­pair the de­fect and min­imise the dam­age caused to the heart, which could have led to death of the pa­tient.

The emer­gency surgery that lasted 18 hours was car­ried out to cor­rect a Type A Aor­tic dis­sec­tion, which is a life-threat­en­ing con­di­tion re­quir­ing im­me­di­ate sur­gi­cal in­ter­ven­tion, ac­cord­ing to the top of­fi­cial of the hos­pi­tal.

“In car­dio­tho­racic surgery, we have car­ried out sev­eral such com­pli­cated cases and this is due to the highly-qual­i­fied doc­tors, nurses and tech­ni­cians, we have and the use of lat­est tech­nol­ogy to pro­vide the high­est qual­ity of pa­tient-cen­tric care,” said Ab­dul­rah­man Al Jassmi, CEO of Dubai Hos­pi­tal.

Dr Obaid Al Jas­sim and Dr Bas­sil Al Zamkan, se­nior con­sul­tants in car­dio­vas­cu­lar and car­dio­tho­racic surgery, said: “Aor­tic dis­sec­tion is at the fore­front of com­plex op­er­a­tions, in terms of risk and di­rect threat to a pa­tient’s life. In such sit­u­a­tions, quick and pre­cise in­ter­ven­tion is nec­es­sary as this con­di­tion can lead to mas­sive bleed­ing around the heart and shut down the body’s vi­tal or­gans such as the brain, kid­neys, liver and can lead to im­me­di­ate death.

“Aor­tic dis­sec­tion is a se­ri­ous life-threat­en­ing con­di­tion in which the in­ner layer of the aorta (the large blood ves­sel branch­ing off the heart) tears. Blood surges through the tear, caus­ing the in­ner and mid­dle lay­ers of the aorta to sep­a­rate (dis­sect). In this case, the pa­tient un­der­went three month be­fore stent­ing of the

We have car­ried out sev­eral com­pli­cated cases­vide the high­est qual­ity of pa­tient-cen­tric care.”

Ab­dul­rah­man Al Jassmi, CEO of Dubai Hos­pi­tal

whole aor­tic dis­sec­tion type B which means the stent reached the prox­i­mal part the as­cend­ing aorta, in­clud­ing two of the three ma­jor blood ves­sels, which sup­ply the brain,” said the doc­tors.

There­fore, the doc­tors said it was a big chal­lenge to re­pair the de­fect in the stented area and in the same time to main­tain the blood flow to the brain.

“We de­cided to mod­ify a tech­nique in an in­no­va­tive method, which was not prac­tised be­fore to re­pair the de­fect and to min­imise all the high risk of these pro­ce­dures and to save the pa­tient’s life. This was needed to stop the bleed­ing, re­place the torn blood ves­sels and en­sure the func­tion­ing of the heart.”

For this type of an open-heart surgery, ex­ten­sive prepa­ra­tion is needed. A rare smart and ad­vanced tech­nique that pro­vides a con­tin­u­ous sup­ply of blood to the brain through­out the surgery, even when blood cir­cu­la­tion to the rest of the body is stopped, was also used. The pa­tient who was trans­ferred im­me­di­ately to the sur­gi­cal ICU then to the ward was dis­charged af­ter two weeks in ex­cel­lent con­di­tion.

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