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Times of India
25 July 2011
Pune, India

A complex cardiac procedure, lasting 12 hours, was carried out at the Ruby Hall clinic, where the heart valve and the diseased aorta of a 44–year–old man were replaced using a synthetic graft and artificial valve.

The doctors claimed that the complicated surgery, which was carried out to treat the tear in the aorta along with a leaking heart valve, was performed for the first time in the city and only third time in India. The operation was carried out on July 6 and the patient was discharged on July 20.

“It is known as a hybrid procedure and is carried out just in a few centres in India. It requires a special theatre known as hybrid theatre,” said cardiac surgeon Sameer Bhate, who carried out the procedure, with the help of a team of specialists.

The team included vascular surgeon Dhanesh Kamerkar and cardiac surgeon Sudhir Bhate, interventional cardiologist Chandrashekhar Makhale, interventional radiologist Rahul Seth and anaesthetists Anil Sant and Sandeep Mutha and percussionist Anand Kulkarni. The post operative was taken care by physician Makrand Joshi and his recovery staff.

Rupesh Shah was admitted with symptoms of severe back ache and breathlessness. Investigations revealed a tear (dissection) involving second portion of aorta, third portion of aorta (arch and descending aorta respectively) and dilatation of the first portion of aorta (ascending), resulting in leaking valve.

“The tear in the aorta was threatening to rupture which could have resulted in sudden death. Shah’s elder brother had succumbed to a similar ailment six months ago,” said Bhate.

The coronary arteries were re–implanted onto the graft (Bentall procedure). A separate graft was used to provide bypass to the vessel supplying blood to the brain from the new aorta and then the patient was taken to the Cathlab where two stents were placed into the second portion and third portion of aorta. This is a very complex procedure and has a high incidence of complications, such as bleeding, stroke and renal dysfunction.

“The operation has a special significance in today’s health scenario. Diabetes and hypertension, which are on the rise, are important risk factors for this life–threatening condition,” Bhate said.

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