Recently, 39-year-old male patient Kapil Gala of Jaslok Hospital & Research Centre underwent a complicated aortic valve replacement procedure. Gala has achondroplasia, also referred to as dwarfism. During a pre-operative evaluation for spinal surgery, Kapil, who had undergone eight surgeries on his feet due to numerous leg abnormalities, was found to have severe aortic stenosis. Before considering spinal surgery, this condition—which was brought on by a congenital bicuspid aortic valve defect—needed immediate attention.
To decide on the best course of action, a multidisciplinary team of medical professionals, including Drs. Nihar Mehta, Upendra Bhalerao, and Manish Kothari, examined Kapil’s test results and medical history. The group discovered a number of issues that rendered transcatheter aortic valve implantation (TAVI), a minimally invasive procedure, inappropriate. The feasibility of TAVI was further hindered by Kapil’s contractures and small arteries in his feet, as well as the fact that his bicuspid valve lacked the essential calcium. Nevertheless, considering the pre-surgical activities, Kapil’s lung function was considered satisfactory for surgery.
The doctors determined that the safest and best course of action was open heart surgery to install a mechanical valve, which should last for 15 to 20 years. After doing a coronary angiography to make sure there were no blockages, Dr. Nihar Mehta conscious sedation and a flexible video laryngoscope were used to anesthetize Kapil. The procedure by Dr. Upendra Bhalerao to replace the aortic valve was successful.
As a specialist in TAVI, Dr. Nihar Mehta stressed the significance of long-term health and patient safety, but he also advised against TAVI because of its anatomical difficulties. Dr. Upendra Bhalerao emphasized that open heart surgery on a patient with such particular difficulties requires careful planning and execution.
Following a successful surgery, Kapil was allowed to leave the hospital after just 12 hours, walking with crutches by the second day, and being taken off life support by the seventh. This instance emphasizes how crucial strong teamwork is to getting the best possible results for patients.
Kapil conveyed his sincere appreciation to the medical staff, especially to Dr. Nihar Mehta, whom he compared to a brother, for giving him the right counsel that would have ensured his long-term safety and well-being. According to a news release from the firm, there is no expectation that the replacement valve will cause problems with any upcoming surgeries, including possible spine surgery to increase Kapil’s range of motion.This instance demonstrates the vital role that meticulous planning and interdisciplinary collaboration play in managing complicated medical problems and guaranteeing that patients receive the safest and most effective therapies that are customized to meet their individual needs.
SOURCE:
HEATHCARE RADIUS
