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HindustanTimes Mon,20 Oct 2014

Dual heart surgeries in Delhi hospital

HT Correspondent, Hindustan Times  New Delhi, January 18, 2013
First Published: 00:37 IST(18/1/2013) | Last Updated: 00:40 IST(18/1/2013)

A 77-year-old woman suffering from heart disease with a damaged valve underwent a keyhole valve replacement surgery along with stent implantation surgery, to open up a blocked artery.

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Doctors at Max Hospital, Saket, who conducted the procedure on Indira Narayan, 77, claimed that this was the first reported case of hybrid procedure involving both stenting and key-hole valve replacement.

"She was admitted in our hospital due to heart failure because of a damaged valve. She was treated with drugs initially and then advised a mitral valve replacement," said Dr Viveka Kumar, director, Cath Lab at Max Heart and Vascular Institute, Saket. He conducted the procedure along with Dr Rajneesh Malhotra.

"We had conducted a heart angiography to detect blockages, when we found  abnormal narrowing of a blood vessel in the main artery," he said.

Doctors say that while her old age was a risk, she was also a patient of hypertension and chronic obstructive pulmonary disease, making her a very high risk case.

"We first conducted a mitral valve replacement surgery through a small incision and implanted a bioprosthetic valve on January 8. After she stabilised, we implanted a bio-absorbable stent after a week's gap," said Dr Kumar.

"Keeping in mind her age, where she wouldn't have been able to tolerate long-term strong blood thinners so we chose the bio-prosthetic valve. The decision to use the new generation stents was also to avoid her from using life-long anti-platelet therapy, which is again a kind of blood thinner," he explained.

According to doctors at Max hospital, Narayan tolerated both the procedures and will be fit for discharge later this week.


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