KOLKATA: A ‘hybrid aortic surgical operation’, combining proc-edures to implant a cardiac stent and take care of blood supply to the mind, was once recently performed at a non-public health facility within the town. Carried out over two days, the rare and complex surgical operation stored the lifetime of a 65-year-old affected person from Bangladesh. Bijoy Chakraborty has now recovered sufficiently and was once released from health facility final week.
Termed endo-vascular aneurysm repair (EVAR), the surgical operation was once advanced because it concerned the insertion of a graft throughout the arteries within the affected person’s leg to the aorta, which had swollen up. The aorta had increased in size by about eight to 10 inches and was once compressing the laryngeal nerve that controls voice. As a consequence, Chakraborty’s voice had became hoarse and he was once discovering it difficult to talk.
“Rather than doing an open surgical operation, which would have led to blood loss, requ-ired transfusion and a three-week stay within the health facility, we placed a graft around the dilated part of the aorta to cut off blood supply. It made the swelling lessen and ensured that it didn’t rupture,” mentioned vice-chairman and senior advisor of Medica Superspecialty Hospital Kunal Sarkar, who led the four-member team that performed the surgical operation.
However, there was once a barrier that the surgeons still had to overcome. The graft placed to cut off blood supply to the affected part of the aorta was once also going to cut off blood supply to the mind. So, to take care of blood go with the flow to the mind, the surgeons rerouted the go with the flow with a synthetic tube graft.
“That was once the primary part of the surgical operation that had to be taken care of. The subsequent day, we put the graft throughout the leg and repaired the aorta,” Sarkar added. The grafting is also known as rail-roading and is very similar to an angioplasty.
According to the surgeons, the affected person’s restoration was once fast and clean, and Chakraborty has now regained his customary voice.
“An aortic aneurysm normally occurs to those that are hypertensive and feature affected blood-vessel walls. In this example, the ballooning had happened high up within the affected person’s chest region and will have ended in a deadly rupture. But the hybrid process and the grafting now not most effective weeded out the danger, but also ensured that he recovered very rapid,” Sarkar mentioned.
Termed endo-vascular aneurysm repair (EVAR), the surgical operation was once advanced because it concerned the insertion of a graft throughout the arteries within the affected person’s leg to the aorta, which had swollen up. The aorta had increased in size by about eight to 10 inches and was once compressing the laryngeal nerve that controls voice. As a consequence, Chakraborty’s voice had became hoarse and he was once discovering it difficult to talk.
“Rather than doing an open surgical operation, which would have led to blood loss, requ-ired transfusion and a three-week stay within the health facility, we placed a graft around the dilated part of the aorta to cut off blood supply. It made the swelling lessen and ensured that it didn’t rupture,” mentioned vice-chairman and senior advisor of Medica Superspecialty Hospital Kunal Sarkar, who led the four-member team that performed the surgical operation.
However, there was once a barrier that the surgeons still had to overcome. The graft placed to cut off blood supply to the affected part of the aorta was once also going to cut off blood supply to the mind. So, to take care of blood go with the flow to the mind, the surgeons rerouted the go with the flow with a synthetic tube graft.
“That was once the primary part of the surgical operation that had to be taken care of. The subsequent day, we put the graft throughout the leg and repaired the aorta,” Sarkar added. The grafting is also known as rail-roading and is very similar to an angioplasty.
According to the surgeons, the affected person’s restoration was once fast and clean, and Chakraborty has now regained his customary voice.
“An aortic aneurysm normally occurs to those that are hypertensive and feature affected blood-vessel walls. In this example, the ballooning had happened high up within the affected person’s chest region and will have ended in a deadly rupture. But the hybrid process and the grafting now not most effective weeded out the danger, but also ensured that he recovered very rapid,” Sarkar mentioned.
‘Hybrid surgery’ gives new life to 65-year-old
Reviewed by Kailash
on
April 14, 2019
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