PGI-Chandigarh performs rare high-risk heart surgery

Chandigarh, June 30 (IANS): The Advanced Cardiac Center at the Postgraduate Institute for Medical Education and Research performed a rare, high-risk operation on a 90-year-old man, the first in the institute’s history.

A team of doctors under the leadership of Yash Paul Sharma performed the very complex and life-saving angioplasty on a patient who suffered from weak heart and critical coronary artery disease and severe COPD, who was too old and weak to undergo open-heart surgery. .

Himanshu Gupta, Associate Professor, explained that the patient was not suitable for open heart surgery, but the angioplasty procedure was also very complex and high risk because the patient suffered from severe left main trifurcation. calcified with a weak heart.

“In this procedure, we used the Impella device, which is a miniature heart pump that supports the patient’s vital signs during the angioplasty process,” he told IANS on Thursday.

The doctors explained that because the patient had heavily calcified coronaries, “we first had to use three Rotablator burs of different sizes, followed by a shock wave balloon (IVL) to remove the large amount of calcium before that the stents can be successfully implanted in the patient”.

The procedure took almost four hours and the Impella machine really helped keep the patient stable throughout the procedure.

The patient recovered remarkably after the procedure and was successfully discharged after two days.

These types of procedures have also been performed successfully in the past, however, without the use of newer devices like Impella, they posed an extremely high risk to the patient.

“We are pleased that we at PGI can now use this device for high-risk procedures and improve patient safety and outcomes,” Gupta added.