Doctors in Delhi hospital operate on 20cm aortic aneurysm that ‘could have been fatal’
Doctors of a Delhi hospital operated on a giant aortic aneurysm — a ballooning of wall of the largest blood vessel carrying oxygenated blood to the rest of the body. An aneurysm is like a ticking time bomb as it can lead to uncontrolled bleeding if it bursts.
“A 30-year-old man came to our OPD with a 20cm aneurysm; usually it is just 17 to 18 mm or more than 10 times smaller. He had been diagnosed in Lucknow, but they did not want to operate it because of the risks involved. Without surgery, it was 100% fatal; one in four of a 6cm aneurysm bursts within a year,” said Dr V.S. Bedi, chairperson, Institute of Vascular & Endovascular Sciences at Sir Ganga Ram hospital.
Giant abdominal aortic aneurysms (AAA) are defined as more than 11cm, and are rarely described in literature.
It was also surprising for the doctors because it is usually found in patient over 60 years of age.
“For aneurysms, we use a graft, a tube-like structure that replaces the damaged part of the blood vessel. The procedure in itself was not very different, but the sheer size of the aneurysm made it very challenging. The aneurysm could be felt from the back, meaning it was occupying a lot of space in the abdomen,” said Dr Bedi.
The high risk surgery took Dr Bedi’s team four hours where the aneurysm sac was opened, blood flow controlled and then restored with a graft. During the surgery almost one litre (two kidney trays) of blood clots was removed which left a huge cavity in the sac.
“The surgery went quite well, and the patient was removed from the ventilator the day after the surgery. He started ingesting fluids and talking within three days. He came for a follow up today and he is doing very well,” said Dr Bedi.
Uttar Pradesh reported 123 new Covid-19 cases while 152 patients recovered in the past 24 hours. One death was reported from Chandauli, according to the data from the state health department on Saturday. Among the new cases, Gautam Buddh Nagar reported 38, Ghaziabad 10, Lucknow 9, Banda 8 and Jhansi 7, according to the data. The state has reported a total of 20,78,519 cases and 23,518 deaths till now.
The National Centre for Disease Control, under the ministry of health and family, has issued instructions to states and Union territories to keep a watch on people who develop symptoms associated with monkeypox and have a travel history of visiting affected countries. The samples would be sent to the National Institute of Virology, Pune for diagnosis. Laboratory samples of suspected cases consisting of fluid from vesicles, blood, sputum etc have to be sent to NIV.
A magisterial inquiry was ordered and six policemen booked in a case of attempted murder in Aligarh, were suspended after the youth under treatment died on Friday. Investigations have begun with the section amended to one of custodial death in the case. The arrested accused was under treatment at JN Hospital in Aligarh.
Pune district reported 46 new Covid-19 cases in the last 24 hours. This took the progressive count to 1.45 million of which 1.43 million have recovered, 20,544 deaths and 306 are active cases. As per the state health department, Pune rural reported five new Covid cases which took the progressive count to 425,703 and the death toll stood at 7,204 as no more deaths were reported.
Nationalist Congress Party chief Sharad Pawar on Saturday held an open dialogue in Pune with representatives of various Brahmin organisations from the state and assured them his party leaders will not make remarks against any caste or religion. The meeting assumed significance as it took place ahead of the local body polls in Pune where the Brahmin community has a sizeable population and NCP is looking to wrest power at the municipal corporation level.