3000 cases being completed at Ranchi, Apollo

Minimal Invasive Cardiac Surgery

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Surgical Marvel at Apollo
November 10, 2005 'Telegraph'

A city-based businessman was discharged from Ranchi’s Apollo Hospital today after doctors had successfully performed a rare operation to prevent the bursting of an aorta on October 25.

Doctors claim that this was the first time that the Rs. 3.40 lakh operation, which involves cutting off blood circulation for 30 minutes, has been carried out in East India.
Rai has recovered after the operation and was able to walk around the hospital three days after the operation.

The medical team worked for five hours to perform the complex procedure known as Bentall’s Operation on Manoj Kumar Rai.

Led by cardiologist Lalit Kapoor, the procedure involved operating an aortic aneurysm — the dilation and weakening of the aorta. The aortic valve was then replaced with artificial materials.

Rai had been undergoing treatment for a narrow heart valve for many years. He had previously been admitted to a hospital in Delhi for breathing difficulties. Doctors there attempted to remove blood from the sac surrounding the heart and had to put in a tube to save his life. After this incident, Rai ran from pillar to post to get treatment for his enlarged aorta and narrowed aortic valve.

In Ranchi, Deepak Gupta, another cardiologist at Apollo Hospital found calcium deposits had narrowed Rai’s aortic valve. He also found that the aorta was very dilated. Gupta then proceeded to aortography, which confirmed that the patient needed urgent repair to prevent it from bursting.

On October 25, the team of Dr Kapoor along with P. Alam, Saurabh Kumar, Thalpathy and Ishtiaque, Bincya nd Suman performed a major operation wherein the aorta was replaced with an artificial tube.

“The aortic valve was replaced, the coronary arteries supplying the heart were detached and reimplanted on the graft. The carotids supplying the brain were detached, the ascending aorta and arch of aorta replaced, and the carotids implanted on the new graft (artificial aorta),” said Kapoor.

He further added: “The operation is special since also need the blood circulation of the patient to be completely stopped for about 30 minutes.”

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