Led Malabar's first successful heart transplantation done at Metromed International Cardiac Centre on a 54 year old patient with end stage heart disease. Donor heart was harvested from a 28 year old gunshot victim in Kannur and brought to MICC through a green corridor. The transplanted patient is healthy and on minimal medication. For end stage cardiac disease, heart transplantation is the gold standard. Post transplant, they have a near normal life.
Minimally Invasive CABG is applicable on selected cases with the advantage of avoiding sternotomy and thus lowering post-operative pain and early ambulation.
A 58 year old patient who had renal transplant 25 years earlier developed Aortic Dissection and Coronary Artery disease. He underwent successful Bentall's operation (replacement of aortic valve and ascending aorta and reimplantation of coronary arteries) with CABG (3 grafts). He did not require renal dialysis throughout his stay in the hospital and was discharged with normal renal function.
Symptomatic carotid stenosis needs to be treated either surgically or by angioplasty. Surgery offers better long-term results. Carotid endarterectomy along with CABG was performed on the patient which averted a possible stroke.
A bus traveller had his chest pierced with a protective iron rod along the window during an accident. He was brought to the hospital with the iron rod in-situ. The rod was removed through a thoracotomy and the lung was repaired.
This has practically replaced conventional CABG except in very rare situations. Shorter hospital stay, less neurological complications, reduced blood transfusions and least adverse effects on other organs are major advantages of off-pump beating heart surgery. The usage of Heart-Lung machine is avoided allowing the heart to beat naturally during the procedure.
Tracheal Tumours are rare but when it occurs; it needs to be surgically removed which involves resection of trachea. A 17 year old girl had a tumour in the distal trachea close to the carina. She presented with acute dyspnoea on minimal exertion. Resection was carried out with preparation for extracorporeal circulation; but managed without it. It has been over 24 years post surgery and the patient is to-date asymptomatic.
Wherever possible, repair of the mitral valve is performed. This is superior to replacement since it retains the native valve. We have excellent long term results (over 20 years) with no significant leak.
Jehovah’s Witnesses believe that it is against God’s will to receive blood and, therefore, they refuse blood transfusions, even if it is their own blood. A number of by-pass surgeries have been performed successfully on Jehovah's Witness patients @ MICC.
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