NEW DELHI: A middle-aged Tanzanian, who had previously received a kidney transplant, underwent rare and complicated heart surgery at a private hospital in the nation’s capital. The patient suffered from shortness of breath, fatigue and palpitations, which were diagnosed as being caused by a major leak of the heart valve (aortic valve) and an enlargement (aneurysm) of the ascending aorta.
The patient’s condition was so severe that he could cope with sudden death. The complicated and extremely rare seven-hour heart surgery was performed by a team of doctors led by Dr Gaurav Gupta, senior consultant and head of the cardiovascular surgery department at PSRI Hospital.
“Open heart surgery was the only option because the patient’s main heart valve (aortic valve) was leaking and the aorta, which supplies blood throughout the body, enlarged and could have resulted in rupture and death. sudden. With this in mind, we decided to perform Operation Bentall, which is a high risk procedure but is the best option, ”said Dr Gupta.
Operation Bentall is one of the most important and risky heart surgeries. This involves replacing a large part of the heart with an artificial graft. The aortic valve and the ascending aorta (main vessel supplying blood throughout the body) are replaced and the coronary arteries (vessels supplying blood to the heart itself) are reimplanted on the new artificial aorta.
According to the hospital, this patient had higher serum creatinine. However, with proper fluid and medical management, her kidney function remained stable and even improved after surgery. The successful operation sends a positive message to kidney transplant patients that it is safe to seek treatment for other serious heart conditions.