Jaipur: Narayana Multispeciality Hospital, Jaipur set another
milestone in the field of cardiovascular surgery by performing the highly
complex ‘Bentall procedure with hemi arch repair’ on a patient suffering from abnormal
enlargement of the Aorta (Aortic aneurysm). Aorta is the main blood vessel that
supplies oxygenated blood to the body and any problem with the aorta can
quickly become a serious & life-threatening medical emergency.
44-year-old Kanta devi (name
changed) from Dausa district came to Narayana Multispeciality Hospital, Jaipur
with complaints of severe & unexplained spells of body pain, nausea &
lack of appetite. Multiple diagnostic tests were conducted which revealed an
aneurysm (abnormal enlargement) of the Aorta extending from the aortic root to
the arch of aorta along with a malfunctioning valve. Extension of the aneurysm
up-till the ‘aortic arch’ made the surgery even more complicated as blood
vessels that supply blood to the brain originate from that portion.
“While Bentall Surgeries are
performed in higher cardiac surgical centers around the world, Bentall surgery
with hemi arch replacement is extremely rare with high mortality rates. Such
surgeries require detailed surgical planning as the brain vessels are also
involved. The core temperature of the body is progressively reduced to 18 to 20
degree Celsius & the whole blood circulation in the body is stopped for approx.
30 minutes during the surgery when the
aneurysm in the ‘arch portion’ of the aorta is repaired. Minimal blood is only
pumped to the brain via arm vessels to maintain neurological function, during
this time.” said Dr. Ankit
Mathur, Sr. Consultant – Cardiac Surgery who performed the
highly complicated surgery.
The surgery took over 9 hours in
which the entire diseased portion of the aorta including the valves, were
removed & replaced with synthetic tube-like grafts. Blood vessels were then
re-connected to help restore normal blood supply. The blood was slowly warmed,
introduced into the body and the heart was re-started post the surgical repair added
Dr. Ankit Mathur.
Though the condition is extremely
rare and critical, well-timed and appropriate treatment can save the lives of
those who are affected with it. Equipped with advanced treatment facilities and
experts, Narayana Multispeciality Hospital, Jaipur has become the most sought-after
hospital in the region for patients suffering from common to highly complex
& rare diseases.