28th April 2018, Jaipur: 65-year-old Rakesh (name changed) from Alwar district who had already undergone two angioplasties & a by-pass surgery in the last 7 years needed a re-do bypass surgery as he had developed multiple blockages in the heart, once again. 61-year-old Behari Lal (name changed) from Sikar dist. needed a third-time valve replacement surgery, as repeated tissue in-growths inside the valve was causing him severe breathlessness and palpitation. The family members of 90-year-old Lakhani Lal (name changed) from Bharatpur with a prior history of heart attack & repeated complaints of severe chest pain were keen on getting a By-pass surgery done as the medications he was on were no longer effective to reduce the discomfort in his chest. All of them had undergone cardiac procedures earlier at some other hospital.
The similarity between these cases and dozen other cases that are referred to Narayana Multispecialty Hospital, Jaipur every month is that these patients have been previously told that their heart condition is inoperable or categorized high risk. Most of them have been refused surgery at other hospitals citing the risks involved.
“An expert in high-risk heart surgery can evaluate each case and handle the risk factors involved with techniques that may not be available at local centers. Our only advice to patients who have been diagnosed in-operable or high-risk is to seek a second opinion from specialized heart centers so that the right diagnosis and treatment can help them continue living a long and healthy life” said Dr. CP Srivastava, Chief Consultant & HOD – Cardiac Surgery at Narayana Multispeciality Hospital, Jaipur.
“Patients who have had a heart surgery before and need a repeat surgery (re-do surgery), elderly patients or patients with multiple co-morbidities or multiple cardiac problems fall under the high-risk bracket. Such surgeries require extensive experience and precision, as the physiology and internal structure of the chest and heart is very complex, and the chances of mortality are very high” said Dr. Ankit Mathur, Sr. Consultant – Cardiac Surgery at Narayana Multispeciality Hospital, Jaipur.
Such cases present unique challenges to the surgeon at the operation table. The management of re-do surgeries requires expert skills of the operating surgeon, especially anesthetists and critical care support staff as the period of 2-3 days post-surgery is very crucial for the patient’s recovery.
Dr. Mala Airun, Zonal Clinical Director at Narayana Multispeciality Hospital, Jaipur said, “It has been seen that patients who have high-risk factors or who have to undergo a complex re-do surgery do best at specialized centers such as ours where the surgical and support team has a lot of experience. Our Cardiac team has successfully treated patients from across Rajasthan and Northern India who have been referred to us because of the affordable yet advanced multidisciplinary care we provide”.