KGMU docs cor­rect rare heart dis­or­der de­spite all odds

Hindustan Times (Lucknow) - - Lucknow -

LUC­KNOW: Doc­tors in the Car­dio­tho­racic and Vas­cu­lar Surgery (CTVS) depart­ment of King Ge­orge’s Med­i­cal Uni­ver­sity op­er­ated upon a woman for a rare dis­or­der de­spite in­cor­rect di­ag­no­sis, that too at an ex­pense less than what the surgery of the dis­or­der costs.

The di­ag­no­sis was leak­age in a heart valves while the dis­or­der di­ag­no­sis at the op­er­at­ing ta­ble was as­cend­ing aor­tic dis­sec­tion. The heart valve leak­age is re­paired with a dif­fer­ent method for about ₹40,000, while a tube needed to re­pair the as­cend­ing aor­tic dis­sec­tion alone costs ₹1.5 lakh.

“The 35-year-old woman came to me a few weeks ago af­ter be­ing di­ag­nosed with leak­age in the valve and we planned a valve re­place­ment. In­side the oper­a­tion the­atre also we started the pro­ce­dure but when we reached the prob­lem area the pic­ture was dif­fer­ent,” said Prof Am­br­ish Ku­mar, who op­er­ated upon the pa­tient with a team.

By then the woman’s heart was sup­ported by a heart lung ma­chine and prepa­ra­tion was done to re­place her heart valve as per the di­ag­no­sis made ear­lier. The doc­tors saw that the leak­age was not from the valve but from the in­ner wall of the aorta which was seen as heart valve leak in the tests done.

“We had no choice but to re­shape the surgery but the big­gest prob­lem was we had not taken in­side the oper­a­tion the­atre the pros­thetic tube which is used to re­pair aor­tic dis­sec­tion,” said Prof Ku­mar. Aor­tic dis­sec­tion can sim­ply be un­der­stood as a sit­u­a­tion when an in­jury to the in­ner­most layer of the aorta al­lows blood to leak be­tween the lay­ers of the aor­tic wall.

“We had only a few min­utes to com­plete the oper­a­tion. What we did was to make a tube with the help of a de­cron patch which is usu­ally used to in other heart surg­eries. The shape of the patch was changed to make it in to a tube,” said Prof Ku­mar. “The oper­a­tion is suc­cess­ful. The pa­tient is fine now,” said Prof Ku­mar. As­cend­ing aor­tic dis­sec­tion hap­pens to three in one lakh.

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