An 18-year-old young man, Mr. Rohan Kumar from Gorakhpur, Uttar Pradesh, was rushed to Hridayam Heart Hospital with a rare and life-threatening heart condition. Born with Marfan syndrome and also suffering from severe scoliosis, Rohan was diagnosed with a Stanford Type A Aortic Dissection, one of the most dangerous cardiovascular emergencies. The tear had started from the aortic root and extended through the ascending aorta and aortic arch up to the left subclavian artery, putting his life at immediate risk.
Further investigations, including a CT Angiogram and 2D Echocardiography, revealed the seriousness of his condition. He had a 7.1 cm ascending aortic aneurysm, severe aortic valve leakage (Aortic Regurgitation), dilation of the aortic root and heart chambers, and a significantly weakened heart with an ejection fraction of only 30%. Without urgent surgery, the chances of survival were extremely low.
Understanding the complexity of the case, the experienced cardiac surgery team at Hridayam Heart Hospital immediately planned an advanced Total Arch Replacement with Bentall Procedure. This is one of the most challenging open-heart surgeries, requiring meticulous planning, precision, and expertise.
During the operation, the diseased ascending aorta, aortic root, and the entire aortic arch were carefully removed. The surgeons reconstructed the aortic root using a 25 mm TTK Chitra mechanical valve with a PTFE graft, replaced the damaged aortic arch with a Siena graft, and successfully reattached the major arteries supplying blood to the brain and upper body. To safely perform the surgery, the team used Hypothermic Circulatory Arrest with Antegrade Cerebral Perfusion, a highly specialized technique that protects the brain while blood circulation is temporarily stopped. The procedure lasted several hours, with a cardiopulmonary bypass time of 340 minutes and an aortic cross-clamp time of 215 minutes.
Despite the complexity of the surgery and the critical nature of his condition, Rohan’s postoperative recovery was smooth and uncomplicated. He was closely monitored in the cardiac intensive care unit, recovered steadily, and was discharged in a stable condition. The successful surgery not only saved his life but also prevented the catastrophic complications associated with aortic dissection and aneurysm.
Rohan and his family expressed their heartfelt gratitude to the cardiac surgeons, intensivists, nurses, and the entire team at Hridayam Heart Hospital for their timely intervention, compassionate care, and unwavering support throughout his treatment journey.
The cardiac surgery team emphasized that Marfan syndrome can silently weaken the aorta, making regular cardiac check-ups essential for early detection and timely treatment. Prompt diagnosis and expert surgical intervention can be lifesaving in patients with aortic aneurysms and dissections.
At Hridayam Heart Hospital, Lucknow, advanced cardiac surgery, cutting-edge technology, and an experienced multidisciplinary team continue to provide hope and life-saving treatment for patients with the most complex heart and aortic diseases.
Treated By
