Bentall: A complex and high risk surgery

First-of-its-kind ‘Bentall surgery’ performed for Rare Cardiac and Muscular-Skeletal Complications at RTIICS, Kolkata
~Complex & high risk surgery performed over eleven hours~
Rabindranath Tagore International Institute of Cardiac Sciences set another milestone in the field of cardiovascular surgery by performing ‘Bentall procedure’ on a patient suffering from a dual complication for the first time in East India. The patient was suffering from ‘Type-A Aortic dissection’ along with a rare disorder of muscular-skeletal system known as ‘Limb Girdle Muscular Dystrophy*’.
Type-A Aortic dissection is one of the most fatal medical conditions where the layers of the main artery of the body (aorta) become separated from each other. This disease/ condition, is relatively rare, occurring in 2–3.5 per 100,000 people every year globally. This is also a medical emergency. Since, this case was a combination of dual complications, the doctors at RTIICS decided to perform an eleven hour long surgery. Team of doctors from Rabindranath Tagore International Institute of Cardiac Sciences (RTIICS) headed by Dr. Atanu Saha performed this first of its kind procedure on the patient.
Commenting on the success of the procedure, Dr. Atanu Saha, Consultant-Cardiac Surgery, Rabindranath Tagore International Institute of Cardiac Sciences (RTIICS),said,“Aortic dissection is always fatal if not operated immediately and the challenge lies in its early detection and initiation of surgical treatment. In the case of Mr. Kamala Padi, considering the complexity of the situation, Bentall surgery was the only option, which is considered as a complex surgery. Bentall surgery was successfully performed for the first time on a patient suffering from these dual rare conditions in East India.”
A Bentall procedure is a surgical operation usually done in open heart surgeries that concerns the largest artery – Aorta. The damaged aorta is replaced and coronary arteries are re-implanted into the graft. The Bentall surgery entails replacement of Aortic valve, aortic root and ascending aorta.
Mr. Kamal Padi, the patient expressed his gratitude to the team of doctors, saying,I had lost all hopes of surviving. I was suffering from this condition for quite some time and was slowly losing my ability to walk. When I was diagnosed with this condition, I felt my world has come to an end. But, the doctors at RTIICS gave me the confidence and hope, which makes me a healthy person today to face the world. My heartfelt thanks to the doctors of RTIICS for giving me a new lease of life.
The Department of Cardiac surgery in RTIICS has been expanding their expertise and experience in complex cardiac procedures and in uplifting the department to an international platform continuously. Since the inception of the department in the year 2000, till date they have performed more than 22,442 cardiac surgeries. The expert team of doctors strives to provide finest care for its pediatric patients. The hospital regularly conducts free heart screening camps for from various districts of West Bengal.

Limb Girdle Muscular Dystrophy* Limb-girdle muscular dystrophy or Erb’s muscular dystrophy is an autosomal class of muscular dystrophy that is similar but distinct from Duchenne muscular dystrophy and Becker’s muscular dystrophy. Limb-girdle muscular dystrophy encompasses a large number of rare disorders. In patients suffering from this condition, the muscles of the body especially the limb and shoulder girdle muscles get destroyed and are replaced by fibrous and fatty tissue.

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