The patient was rushed to the hospital in an emergency, where he was immediately ventilated to survive. A critical operation was performed in which the patient survived.
When 64-year-old Omprakash Goenka was taken to the Asian Heart Institute last month, he could not breathe and was on a respirator. His medical diagnosis revealed that the major artery in his heart (aorta) had swollen to three times his standard size. As a result, it pressed on his breathing tube.
The swelling was so severe that on his journey from home to Mumbai to treat him, he had severe respiratory distress and was in critical condition.
19659004] "When this patient was taken to the hospital, he was in a serious condition and underwent cardiac surgery in an emergency. His major cardiac artery had developed a massive aneurysm (a bulbous appearance in a blood vessel) . This is due to the weakness of the blood vessel wall, which was larger than a tennis ball. It was so large that it dangerously narrowed his breathing tube and completely blocked one of the major veins of the heart, causing blood to enter from the left side of the brain and left hand, "said the renowned cardiac surgeon and vice chairman of the Asian Heart Institute  Dr. Ramakanta Panda.
"We had to operate this patient in an emergency. Any further delay would have caused his coronary artery to have ruptured and death to have occurred. " Panda added.
In an 11-hour, 40-minute operation, the physicians performed a complicated heart surgery using a percussion heart technique – this involved redirecting the brain and hand blood supply (debranching). The doctors inserted four bypass grafts (right hand, left hand, right side of the brain, left side of the mind), and a stent was inserted into his aorta to exclude the large aneurysm from the regular bloodstream.
It has been a very complex operation because if the blood supply to the brain is blocked for more than 3 minutes, it can cause irreversible damage.
Even when the aneurysm occurred immediately after surgery, the narrowing caused by the aneurysm; although reduced by 25%; had not completely relieved the respiration of the patient. The doctors also had to give Goenka a tracheostomy to help him breathe. In this procedure, a hole is made in the trachea or trachea from the front of the neck. Furthermore, a breathing tube is inserted into the throat to ensure proper breathing.
Relief after surgery
Goenka is stable after the procedure, doctors said. He was taken out of the ventilator and within a week he received about 70 percent relief of his swelling. Subsequently, his breathing tube was removed and is expected to be discharged within 48 hours.
Following heart surgery, some important tips should be kept in mind:
- You may have a poor appetite for a few weeks. Give your body the time to recover.
- Avoid excessive physical activity.
- Weaknesses may occur in the first months after surgery. 19659020] Read more about Heart Health
Written by Vani Malik
Source: Onlymyhealth Editorial Staff July 31, 2019