Mysuru, January 20:- It was nothing short of a miracle. It was indeed the end of tough days for Suresh (name changed), a small time painter when he walked into Columbia Asia Mysore with severe chest pain and breathlessness.
Although it seemed like a routine case, it turned into an overwhelmingly difficult surgery that was tackled well with expert medical talent and care. Suresh went home happily in just five days.
Cardiologists Dr Keshavamurthy and Dr Sasirekha realized that this small-time painter was troubled by multiple health problems that could prove disastrous if they didn’t act immediately.
Suresh’s medical investigations revealed that that he had a severe leak in his Aortic valve with enlargement of the Aorta (the main blood vessel that carries pure blood from the left side of heart). Further tests like trans-esophageal Echo CT aortogram revealed the need for an immediate replacement of aortic valve along with ascending aorta, the major vessel which had dilated and dissected. Unfortunately, he was also an HIV-positive person and so had to be subjected to further tests like CD4 count.
A very challenging procedure
This was not just a distressing situation but also a challenging one, as HIV-positive patients have low immunity and are vulnerable to infections. In addition, recovery and healing was an uphill process too. This meant that a specialist had to decide if he was fit to undergo a major cardiac surgery.
He was immediately referred to Dr Upendra Shenoy, Cardiothoracic and Vascular Surgeon who led the delicate surgery involving replacement of both the aortic valve and the ascending aorta and re-implantation of coronary arteries (Bentall procedure).
Cardiac surgeries,especially like this one,involving the aorta have a large chance of bleeding; in addition, the dilated and dissected aorta is very fragile. Suresh being an HIV positive person made it an indomitable task for the operating team. The post-operative care team too had to be extremelycareful to avoid any needle stick injury. He was discharged from the hospital on the fifth day after surgery which was a phenomenal achievement.