Excelsior Correspondent
JAMMU, Oct 18: Cardiac Surgery Department at Super Speciality Hospital (GMC Jammu) achieved a rare feat by performing open heart surgery on a lady with defective heart valve and at the same time having a single kidney.
The 38-year-old patient was suffering from Calcified Aortic Valve causing severe narrowing and leaking of valve leading to breathlessness on walking and heart failure. She was also having thyroid disorder and was on medication for the same. She had only one kidney and left kidney was not developed at all.
“Such patients pose great challenges to the cardiac anaesthetist, perfusionist and the surgical team”, stated Dr Shyam Singh, Head of Cardiovascular & Thoracic Surgery, Government Super Speciality Hospital, Jammu.
“A delicate balance has to be maintained by titrating various drugs used by Cardiac Anaesthesia team so that kidney function remains optimal,” remarked Dr Puja Vimesh, Professor & Head Cardiothoracic Anaesthesiology.
The surgical team has to work against time to complete the job of removing calcified valve and replacing it with artificial heart valve .The patient was optimized in Cardiovascular & Thoracic surgery ward before taking her up for surgery.
The services of Nephrologist Dr Raju Bhandari were sought for putting patient on Aminoacid infusion for three days prior to surgery to protect kidney function as Cardiopulmonary bypass itself can cause decrease in kidney function.
The surgical team consisted of Dr Shyam Singh, Dr Mohit Arora, Dr Vivek Gandotra, Dr Prabhdeep and Dr Rouf while Cardiac Anaesthesiology team comprised of Dr Puja Vimesh, Dr Rasmeet Kour, Dr Vikas Gupta.
The patient was extubated next day.
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