JAMMU: In a recent medical breakthrough, doctors at Indraprastha Apollo Hospitals successfully performed a complex cardiac surgery on a 54-year-old male patient with a rare condition. The patient was diagnosed with an ascending aorta aneurysm and dilated arch, along with proximal descending thoracic aorta dilation. The surgery, known as "replacement of ascending aorta and arch with frozen elephant trunk," was carried out utilizing a specialized hybrid device under the expert care of Dr. Mukesh Goel, Senior Consultant,Cardiothoracic Surgeon , Heart and Lung Transplant Surgery and Dr. Niranjan Hiremath , Senior Consultant , Cardiovascular and Aortic Surgery , Surgical Lead ,Apollo Aortic Program.
The patient had a history of long-standing hypertension .His aneurysm not only affected the ascending aorta but also extended into the arch, requiring a meticulous and intricate surgical approach. The surgery involved the replacement of the ascending aorta and arch with a specialized hybrid graft, addressing the aneurysmal dilation and restoring normal cardiovascular function. The use of a frozen elephant trunk, a technique involving deep hypothermia of 20°C and total circulatory arrest, further underlines the advanced nature of the procedure.
During the surgery, the medical team encountered no complications. The patient's condition remained stable postoperatively, and he recovered well without any adverse events. This successful outcome highlights the expertise and capabilities of the cardiothoracic and vascular surgery department at Indraprastha Apollo Hospital.
Following the procedure, the patient underwent a smooth recovery process and is now being discharged with regular follow-up instructions to ensure continued well-being.
Dr. Mukesh Goel, Senior Consultant, Cardiothoracic Surgeon, Heart and Lung transplant surgery , Indraprastha Apollo Hospitals, expressed profound satisfaction with the successful outcome of the recent surgery. Emphasizing the critical role of collaboration and advanced technology in achieving such milestones, Dr. Goel remarked, "This case exemplifies the pinnacle of our team's expertise and the cutting-edge resources we have at our disposal. Our ability to navigate complex cardiovascular conditions with precision and positive outcomes showcases the depth of experience and dedication within our department. I commend the entire medical team for their relentless commitment to patient care and the continuous pursuit of excellence in cardiac surgery."
Dr. Niranjan Hiremath, Senior Consultant , Cardiovascular and Aortic Surgery , Surgical Lead ,Apollo Aortic Program, Indraprastha Apollo Hospitals, reflected on the recent surgical success with a sense of professional fulfillment and dedication to advancing aortic surgery. He stated, "The successful outcome of this intricate procedure, with no postoperative blood transfusions and minimal intraoperative blood loss, underscores the importance of specialized expertise in aortic surgery.
Our ability to utilize advanced techniques such as the frozen elephant trunk method, alongside deep hypothermia and total circulatory arrest, showcases our commitment to pushing the boundaries of aortic surgical care. This case highlights the significance of a multidisciplinary approach and cutting-edge technologies in achieving optimal results for patients with complex aortic conditions. I am proud to be part of a team that consistently delivers exceptional outcomes and sets new benchmarks in aortic surgical excellence.."
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