P. Ramesh, 52-years old patient visited the emergency department of Kovai Medical Center and Hospital (KMCH) with severe chest pain on 25 October. His Initial ECG showed features of major heart attack. He was shifted immediately to the Cardiac Cath lab and his coronary angiogram revealed a block in the right heart artery for which a primary stenting was done.
His pain got better but he progressed to have difficulty in breathing.
Following this, a detailed echocardiography was performed which showed that the septum between the left and right ventricle got ruptured and there was a communication between the two. This is one of the complications after a patient suffers a major heart attack, said Dr. Thomas Alexander, Interventional Cardiologist of KMCH.
This condition is rare and a majority of patients die within hours if not surgically corrected. This patient was immediately shifted to Cardiothoracic Surgical ICU and was put on cardiac support (intra aortic balloon pump) to improve his cardiac output. Even the operation in this condition causes high mortality.
Then he was taken up for emergency surgical repair by D.Prashant Vaijayanth, Director of Cardiothoracic Surgery KMCH. He was connected to heart lung machine. His heart was stopped with cardioplegia solution. Ventricular chamber was opened, dead portion of the heart was excised and defect was repaired with infarct exclusion technique, using bovine pericardium.
His recovery in the post operative period was good and was discharged in stable condition on 5th post operative day. “We are very happy to save the life of P. Ramesh who was in near fatal condition” said Dr. Nalla G.Palaniswami, Chairman, KMCH.
His pain got better but he progressed to have difficulty in breathing.
Following this, a detailed echocardiography was performed which showed that the septum between the left and right ventricle got ruptured and there was a communication between the two. This is one of the complications after a patient suffers a major heart attack, said Dr. Thomas Alexander, Interventional Cardiologist of KMCH.
This condition is rare and a majority of patients die within hours if not surgically corrected. This patient was immediately shifted to Cardiothoracic Surgical ICU and was put on cardiac support (intra aortic balloon pump) to improve his cardiac output. Even the operation in this condition causes high mortality.
Then he was taken up for emergency surgical repair by D.Prashant Vaijayanth, Director of Cardiothoracic Surgery KMCH. He was connected to heart lung machine. His heart was stopped with cardioplegia solution. Ventricular chamber was opened, dead portion of the heart was excised and defect was repaired with infarct exclusion technique, using bovine pericardium.
His recovery in the post operative period was good and was discharged in stable condition on 5th post operative day. “We are very happy to save the life of P. Ramesh who was in near fatal condition” said Dr. Nalla G.Palaniswami, Chairman, KMCH.