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Indian Express
16 June 2010
Chandigarh, India

AFTER A rare surgery on a 21–yearold heart patient, suffering from ruptured sinus of valsalva aneurysm (RSOV), the Department of Cardiology at PGI has claimed it was the first time the institute has used percutaneous method of surgery.

A team of the doctors who performed the surgery was led by Dr Shiv Bagga, assistant professor at the department of Cardiology.

According to Bagga, RSOV is characterised by ruptures in the right chambers of the heart. “This is a rare disease where there is a high pressure connection between the aorta, the main blood carrying vessel of the heart, and the low pressure chambers of the heart. If not treated, it leads to heart failure with a high mortality rate,” he said.

The usual treatment is surgical therapy. However, in this case the patient had undergone a previous surgical clo sure of the defect at PGI itself. On the follow up it was found that he had a large residual leak.

“After discussions with surgeons and family members of the patient, it was decided to go for percutaneous approach as another surgery could have been fatal,” the doctor added.

Percutaneous approach, as against the conventional suregry approach, is characterised by using special catheters and devices through smaller incisions rather than making bigger cuts. `This is a rare disease where there is a high pressure connection between the aorta, the main blood carrying vessel of the heart, and the low pressure chambers of the heart. If not treated, it leads to heart failure with a high mortality rate'

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