Complex Hybrid procedures Restore M obility for Farmer aged 76,
Complex Hybrid procedures Restore M obility for Farmer aged 76, after degene enerative Heart Valve Failure and Hip Fr acture.
The procedures were performed in asp an of 3 hours at the Hybrid Operating a Room – the safest infrastructure to per form complex procedures for high risk individuals
Chennai, 6th December 2024: Kauvery Hospital, a leading name in advanced m edical care, has achieved yet another m ilestone by performing a ground breakin ng dual procedure on a 76-year-old Pati atient from Mayiladudurai, Tamil Nadu. A farmer and teacher by profession, he exemplified the spirit of resilience, und ergoing an extraordinary medical journ ey to regain his mobility and independe nce.
The patient, who had previously under rgone mitral valve replacement with B ioprosthetic valve in 2013, and a recen techo confirmed degeneration of that prosthesis with severe narrowing and leak along with very high right heart p ressure (severe pulmonary hypertens ion) A second operation to replace this will be prohibitively higher risk, hence he was planned to have elective non -su rgical Transcatheter Mitral ViV replace ment in end of November, however, his journey took an unexpected tur n when he suffered a fall at home, leading to a left leg fracture neck of femu r (broken hip bone).
The urgency of his hip condition and t he critical nature of his heart ailment prese nted a daunting challenge. It was a highr isk procedure that required a multimedi a multidisciplinary approach and the onl y safer way to treat him is to do both pro cedures under the same general an aest thesia, first the Transcatheter Mitral Vi V followed by Left Total Hip Replaceme nt, in an Hybrid Cath Lab Operating Roo m. This is available in very few centres i n India, and given the availability of the Hybrid Cath Lab OR, Cardiac and Ortho pedic expertise, this patie nt underwent Hybrid procedure safely and was mobili zed within 36 hours.
“The patient underwent a transcatheter mitral valve-in-valve procedure through groin access, a minimally invasive techni que that immediately reduce d his right-side pressure from 130 to 60 and a norm ally functioning mitral valve. With his h eart condition stabilized, the orthopedic team seamlessly proceeded with the hip replacement surgery on the same opera ting table at the Hybrid Operating Roo m,” said Dr R Anant haraman , Senior Int erventional Cardiologist Kauvery Hospi tal Chennai.
The procedures were a resounding suc cess. The patient was extubated from the ventilator and mobilized within 36 hours, defying all odds. His swift recov ery enabled him to return to his villag e and resume his active lifestyle.
“Advances in surgical techniques have m ade the procedure safer, even for patien ts with multiple health conditions. This patient was given dual mobility hip repl lacement thus giving higher chan ces of life expectancy to hip and reducing any chances of complications in fut ure. As a farmer he wanted to be ready before ha rvest season and needed beter mobility, which could only be achi eved through the dual mobility procedure.” said Dr M ukunth K , Senior Consultant Orthopae dics, Kauvery Hospital Alwarpet.
“This case is a perfect example of multid isciplinary care. Coordinating compleex heart and orthopedic procedures with i n in a single sitting not only addressed t he patient’s medical needs but also ensu sured faster recovery and minimal disru ption to his life. Our advanced Hybrid O perating Room enabled us to perform t hese life-saving procedures seamlessly, ensuring the patient could retur n to his life with renewed strength. This Hybrid Operating Room is safest infrastructure to perform high end cardiac and vascula ar procedures for high ris k patients,” sai d Dr. Aravindan Selvar aj, Co-Founder a nd Executive Director Kauvery Hospital s.
