Mr. Sheik Ali
Diagnosed with blocks in blood vessels, mitral valve leakage, and left ventricular aneurysm
Mr. Sheik Ali, a 56yrs old employee was suffering from breathlessness on doing any work. He could not walk few yards without experiencing breathlessness, this was happening from the last 2 months. Just before 2 months he had experienced mild discomfort in the chest but he attributed it to some muscle problem and ignored it. But right from the next day he started experiencing the problem of breathlessness, and over the last 2 months this problem increased by manifolds.
He was unable to carry even small routine works, he would start feeling breathless even after eating, or on climbing the stairs, and even after changing his dress, life started to seem very difficult to him. To add to his problems he started experiencing chest pain also very frequently along with breathlessness from the last one month. He could not attend his office also. Unable to cope with this condition he decided to get evaluated.
He was brought for evaluation to STAR Hospitals, on diagnosis it was found that all his 3 blood vessels that supply blood to the heart muscle were blocked and it was found that this patient also had heart stroke one month back. Because of the blocked vessels other complication of the heart also developed, it was found that his left ventricle (one of the chambers of the heart) became dilated – condition which is medically termed as left ventricular aneurysm. Plus, there was also leakage in the mitral valve (mitral valve regurgitation). When the coronary arteries are blocked the patients may have a heart attack, which leads to aneurysm and also leaking of mitrial valve.
It required a very complex operation to treat his three conditions – blocks in the blood vessels, leakage in mitral valve, and left ventricular aneurysm. Mr. Ali had become very symptomatic, he was not able to carry out even very small routine activities, so he was staying at home all the time lying in his bed, unable to even move his body from one side to another. There was no improvement in his condition and he continued to experience breathlessness and chest pain with the same intensity even after regular medication. He was advised to undergo a highly complex operation by the STAR team, which involved bypass surgery of the heart, repair of the mitrial valve, and repair of left ventricular aneurysm. The experts of STAR performed this highly complex operation that lasted for 5 hours, successfully. On the 7th post operative day Mr. Ali was discharged and sent to home. Two months after the surgery, can carry out all his works without any problems, he has even joined back his job and was doing well with out any limitations in his working ability. We have prescribed few drugs to prevent the reblockage of his blood vessels.
Dr Nageshwar Rao
Diagnosed with severe blockage in all 3 heart blood vessels and the 2 carotid arteries
Dr Nageshwar Rao, 64 yrs old doctor from Coimbatore had been suffering from chest pain and syncopal attacks (falling unconsciousness) from the last 4 years . He visited many hospitals, where he was evaluated and diagnosed to have coronary artery disease, ie blockage in blood vessels of the heart muscles and blockages in the blood vessels that supply blood to brain. The patient being a doctor didn’t wanted to undergo any surgery and felt he would manage it, and continued to live with this condition for 4 years. One day Dr. Rao suffered a severe syncopal attack due to which he went into an unconscious state for half an hour, he then realized that there was something seriously wrong with his condition and decided to get evaluated. He was previously admitted in another hospital in hyderabad, where they had done all the diagnostics tests including coronary angiogram and angiogram to the carotid arteries – the blood vessels that supply blood to brain. Dr Rao’s had a very critical heart blood vessels blockage, all his 3 blood vessels that supply the blood to the heart muscle were critically blocked. The two carotid arteries of the heart that supply blood to the right and left sides of the brain were also critically blocked. The right side carotid artery that supplies blood to the right side of the brain was completely occluded or blocked and the left one had blockage of 95%, so he was virtually living on only 5% of blood supply as compared to what a normal person would receive. This lead to sudden and frequent syncopal attacks.
He had severe problems in supply of blood to both the heart and brain, both conditions being very critical. He had to stop his medical practice as he would fall unconscious suddenly anytime. He also experienced chest pain even on walking which affected his routine daily work to great extend. Dr. Rao, who was otherwise a very active man was forced to become almost inactive, he was very disappointed. As all his 3 blood vessels were blocked by 90%, 85% and 80%, the 2 carotid arteries blocked by 100% and 95% – this required operation of carotid blood vessels and heart bypass surgery to be done simultaneously, which is extremely risky and he was so many surgeons refused to operate him, he was highly disappointed. Finally he was referrd to STAR Hospitals.
The expert cardiothoracic surgeons of STAR, who have decades of experience in handling highly complex cardiac conditions agreed to operate and assured Dr. Rao that he’ll be fine. The team carried out carotid arterectomy, where they removed the cholesterol block and reconstructed the left side blood vessel of the brain, and at the same time the team did beating heat bypass surgery with 4 grafts. The highly risky surgery was handled extremely well by the cardiothoracic and vascular team and the patient recovered very fast. He was brought to the room from the ICU on the 2nd post operative day and with in one week he was discharged. Now, only after 1 month of surgery Dr. Nageshwar Rao is back to his clinic, treating his patients and enjoying his active life again.
Mr. Raja Rao
Diagnosed with blockage in all the 3 blood vessels with history of cardiac problem and diabetes.
Mr. Raja Rao, a 51 yrs old school teacher, had a history of cardiac problem. At the age of 47 yrs he had severe chest pain and was diagnosed to have a block in one of his blood vessels that supply blood to the heart muscle. Subsequently, he underwent bypass surgery 4 yrs back. He had been doing perfectly fine since then and was continuing his job.
But a month back, one day while teaching in his school, he suddenly experienced sever breathlessness, which subsided after a few minutes of discomfort. But he experienced the same problem even on the very next day too, this was alarming, realizing that there was something wrong, he immediately got himself evaluated. Because he was known to be a heart patient the doctors carried out all the routine tests and it was found that he developed a problem with his heart again – Coronary angiogram was done that showed sever blockage in all the 3 blood vessels that supply blood to the heart muscle.
Mr. Raja Rao, unfortunate also had a history of diabetes for the last 10 yrs, plus he also used to smoke prior to his first operation these risk factors led to blockage of the other 2 blood vessels also, which did not have any problem earlier. Mr. Raja Rao was unable to continue his job and needed to get treated to start his work. He came to STAR Hospital as our outpatient and was evaluated to have all the 3 blood vessels that supply blood to the heart muscle, occluded, even the blood vessel that received the graft four years back developed the problem. Mr. Raja Rao had to undergo a second bypass surgery and with a diabetic condition this increase the risk to a great amount. But he was very keen to go ahead with high risk operation as he wanted to resume his job.
The expert team of STAR carried out the high risk long operation managing all the risk factors with great competence and the operation was completed successfully. The surgeons used his right internal mammary artery for grafting as the left mammary artery was used in his last operation. Mr. Rama Rao underwent successful second time bypass operation on beating heart and made uneventful recovery. He was discharged within one week. Two months after his second operation Mr. Raja Rao could join back his job as is doing what he loves most – teaching his students and helping them build their future. Mr. Raja Rao was advised a comprehensive rehabilitation program and a health management plan for lifetime, ensuring the risk factors like diabetes do not develop problems for him again.
Mr. Rama Sheshaiah
Diagnosed with Coronary artery disease with history of severe obesity and smoking
Mr. Rama Sheshaiah, a 69 yrs, old gentle man, severely obese weighing nearly 125 – 128 kgs was suffering from breathlessness and exersion. He is unable to walk even a few yards without breathlessness. He also had a history of smoking for over 40 yrs. He saw the doctor to find out the cause of his problem of breathlessness. He did not have any other risk factors like diabetics, high blood pressure, or family history of heart disease.
On evaluation it was found that there were significant blocks in the blood vessels that supply blood to the heart muscle (Coronary Artery Disease). Operating , who was severely obese with smoking history of 40 years was a major challenge for the surgeons and the anesthesiologists .
Before coming to STAR hospitals, Mr. Rama Sheshaiah had seen many doctors but because of his age, severe obesity and strong history of smoking that extended over a period of 4 decades, the doctors were hesitant to even evaluate him as would stand very poor chance if required any operation of the heart. He visited our outpatient dept, and was evaluated first with an echocardiography and it was found that his heart muscle was pumping reasonably well, then coronary angiogram was performed, which showed triple vessel disease with all 3 vessels that supply blood to the heart muscle, critically blocked. Despite his problems of severe obesity, strong smoking history, and old age, he did very well following the operation. Bypass grafting was done with five grafts – one from internal mammary artery and four from the leg vein. Mr. Rama Sheshaiah had an uneventful recovery, the surgeons monitored him in the ICU for an extra day than in the case of regular patients. This was done because post operatively the obese patients and patients having history of chronic smoking develop problems because of the arterial breathing machine. When patients are obese and chronic smokers, post operative, they develop problem with lungs particularly lung infections, and in their case the oxygen saturation of blood will also be low. The strong competence, expert judgment, and efficient management of the STAR Hospitals surgeons helped Mr. Ramasheshaiah recover from his problem. He had an uneventful recovery and he was discharged on the 7th post operative day.
Diagnosed with mitral valve regurgitation
Mrs Padmavati, a 40 yrs old lady from a poor economic background was suffering from severe breathlessness even on performing minimal physical activities. She consulted a local doctor in her native village, on evaluation it was found that she was anaemic, her heamoglobin count in the blood was low, she had 8 gms of heamoglobin in 100ml and the normal value in women is 11-14 gms per 100 ml. The doctor attributed this as the cause of her problem and she was treated for anaemia.
But even after the treatment, she continued to experience breathlessness and also had pain in the left side of the chest. She also had a history of fever with joint pains in childhood, diagnosed as rheumatic fever.
When her breathlessness didn’t get treated, she consulted a cardiologist in the nearby city, who did an echocardiogram to evaluate her condition. She was shocked to know that she had a heart problem with leakage in her mitral valve – condition that is medically termed as mitrial valve regurgitation. Because she was from a poor economic background she waited to arrange for resources to come to Hyderabad to get a second opinion and the right treatment. It took her 1 year to make the required arrangements. She came to STAR Hospitals after 1 year, on evaluation we found that she continued to be anaemic, her blood heamoglobin level was still low of 8gm per 100ml and her echocardiogram showed severe regurgitant mitrial valve. She needed an operation but understanding that operation on an anaemic patient will be risky, so we decided to first treat her for anaemia, we gave her haemotynics and when her heamoglobin level improved nad became 11 gms per 100ml of blood, we subjected her to open heart surgery. She underwent a successful mitrial valve repair. Because she was anemic the surgeons opted for mitrial valve repair procedure over mitrial valve replacement because the patient who undergo mitrial valve replacement are on anticoagulants for lifetime. Patients with history of anemia and evidence of loss of blood cannot tolerate any leakage of blood. After one monthof post operative follow up it is fond that Ms. Padmavati is doing extremely well and is able to carry out all her routine activities without any sign of breathlessness.